Results of Surgical Treatment of Ovarian Endometrioma

Munkhbayar Choijiljaw, Munkhbayarlakh Sonomjamts, Yanjinsuren Darmaa
In: Central Asian Journal of Medical Sciences · 2021 · vol. 7(3) , pp. 197–203 · doi:10.24079/cajms.2021.09.004 · W4312756813
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Abstract

Objective: Diagnosing and treating ovarian endometrioma at the clinical stage and making a comparative study of the treatment results. Methods: In 2018-2019, 63 women aged 20-45 years diagnosed with ovarian endometriosis in the gynecology department of the Obstetrics and Gynecology Hospital of the National Center for Maternal and Child Health were included in the study. A hospital-based clinical prospective case-control study was used. Results: The first group of women received dienogest after surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.016) was assessed. The second group of women received dienogest before surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.001) was assessed. In this comparative surgical study, in the first group 14 (43.8) had trouble having the endometrioma removed, and in the second group, 23 (74.2%) had no trouble having the endometrioma removed. Conclusion: The use of synthetic progestin before surgical removal of moderate to severe endometriosis with laparoscopy decreases the blood loss during surgery (p < 0.021) and facilitate the removal of the endometrium from the ovary
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Results

of Surgical Treatment of Ovarian Endometrioma

Keywords

Dienogest, Laparoscopy, Remove EndometriomaAbstract

Objective

Diagnosing and treating ovarian endometrioma at the clinical stage and making a comparative study of the treatment results. Methods: In 2018-2019, 63 women aged 20-45 years diagnosed with ovarian endometriosis in the gynecology department of the Obstetrics and Gynecology Hospital of the National Center for Maternal and Child Health were included in the study. A hospital-based clinical prospective case-control study was used. Results: The first group of women received dienogest after surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.016) was assessed. The second group of women received dienogest before surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.001) was assessed. In this comparative surgical study, in the first group 14 (43.8) had trouble having the endometrioma removed, and in the second group, 23 (74.2%) had no trouble having the endometrioma removed. Conclusion: The use of synthetic progestin before surgical removal of moderate to severe endometriosis with laparoscopy decreases the blood loss during surgery (p < 0.021) and facilitate the removal of the endometrium from the ovary 379 Downloads Published How to Cite Issue Section License Copyright (c) 2021 Mongolian National University of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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endometriosisendometriomachronic_pelvic_pain

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