Features of clinical description of patients are with of benigh ovarian neoplasms after hysterectomy

Abstract

DOI: 10.52705/2788-6190-2026-01-6
УДК 618.14-089.87-089.168.1-066.88.11-006.03-036.1-07-039

The objective: to learn the features of clinical description inspection of patients with of benigh ovarian neoplasms after hysterectomy.
Materials and methods. The retrospective analysis of hospital and videotape recordings of operations charts is conducted 83 patients, ovaries operated concerning of benigh tumours. All patients entered permanent establishment in the planned order with a diagnosis: «Benigh ovarian neoplasms». 65 from 83 patients produced complaints about chronic pelvic pains and pains at sexual contacts. All patients before carried total or subtotal hysterectomy without appendages laparotomy access concerning a uterine fibroids, adenomyosis, recurrent dysfunctional uterine bleeding. 1 basic group – 48 patients were operated concerning the tumours of ovaries by laparoscopy access. The group of comparison was made by 35 patients which undergoed a laparotomy operation concerning the tumours of ovaries. Clinical, laboratory instrumental and statistical methods were included in the complex of the
conducted researches.
Results. For 62 patients after subtotal hysterectomy the state of stump uterine cervix was estimated (oncocytological examination of smears from endo- and exocervix, extended colposcopy). From them there is found out pathology of stump uterine cervix in 12 patients (17,7 %): for 2 patients is high-grade dysplasia, in 6 is endometriosis of stump uterine cervix, for 3 patients are recurrent polyps of cervical canal, bleeding from stump uterine cervix, concerning which it was decided to execute extirpation of the cervical stump. In all 83 patients determined the level of tumour marker of СA-125 in the blood serum. In 11 patients there was an increase of level of tumor marker of СA-125 to 35–54 IU/ml.
Conclusions. The results of the conducted clinical description of women with ovarian neoplasms after hysterectomy testify to actuality of this scientific problem and necessity of development of the improved algorithm of diagnostic, treatment-and prophylactic and rehabilitation measures.