A CASE OF COMBINED USAGE OF ABDOMINAL SECTION AND VIDEOENDOSCOPY IN TREATMENT OF A PATIENT WITH UTERINE MYOMA

Myomectomy is a complex, atypic efficient interference, which is characterized by substantial complications, arising up both intraoperation and in the post-operation period. The endoscopic mini-invasive surgical interference is the gold standard of efficient medical treatment in gynaecology.

The description of combined organ-saving treatment of the patient with uterine myoma is presented in the article, when implementation of traditional abdominal section with successful usage of modern medicinal and mini-invasive technologies, with the subsequent final convalescence.

The most widespread limitations for the successful implementation of laparoscopic and hysteroscopic myomectomy are analysed in the work. Some of them carry an especially subjective nature and are successfully overcome by surgeons with the high qualification. But the requirements in implementation of operations of such level of complication exceed the number of high quality surgeons. Abdominal section with the subsequent application of medicinal and mini-invasive technologies in a definite, especially technically complex cases allows safely to evade the severe intraoperation risks and level the defects of every method of treatment with reliable result in the remote post-operation period.