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№3' 2015
SURGERYInternational Medical Journal, Vol. 21., Iss. 3, 2015, P. 9−12.
EFFICIENCY OF TREATMENT FOR POLYCYSTIC OVARY SYNDROME USING OPERATIVE LAPAROSCOPY
Kharkiv Regional Perinatal Center, Ukraine
Kharkiv National Medical University, Ukraine
In order to determine the efficiency of treatment of polycystic ovary syndrome (PCOS) by operative laparoscopy, clinical statistical analysis of outcomes of 60 operations for ovarian wedge resection in patients with this pathology was performed. The first group included 30 patients (50.0 %) with PCOS who were not identified concomitant gynecological and extragenital pathology, or it was completely eliminated. The second group included 30 patients (50.0 %) with PCOS whose manifestations of concomitant genital and extragenital pathology in varying degrees persisted at the time of the operation or appeared soon after it. The study found that efficiency of treatment using surgical laparoscopy normalized the content of sex and gonadotropin−releasing hormone in the blood plasma, most completely if correction of existing genital and extra−genital disorders was done in the preoperative period. In addition, it is appropriate to include hormonal correction of disorders of leading pathogenetic link of the polycystic ovary syndrome: hyperprolactinemia, hyperandrogenism, insulin resistance. Half of all pregnancies developed after ovulation stimulation occurred in the first 6 months after the surgery. After 24 months the possibility of spontaneous pregnancy becomes extremely low.
Key words: polycystic ovary syndrome, operative laparoscopy, treatment.