New methods of preservation of the ovarianreserve during operations on the ovary, Individualtactics. A simple solution (preliminary report) by VG Zhegulovych in Research and Reviews on Healthcare: Open Access Journal (RRHOAJ)- Lupine Publishers
Currently, surgical treatment of the ovaries is carried out
mainly by laparoscopic entry. Surgical interventions are always
associated with the need for hemostasis. All types of energy that
are used in surgery (mechanical, electrical, thermal, welding,
laser, etc.), depending on various pathophysiological mechanisms,
affect the ovarian tissue and damage the ovarian reserve in
women of reproductive age [1,2]. The ovarian suture causes an
intense inflammatory reaction to the foreign body (tissue necrosis,
granulation tissue) even around the suture material that dissolves
within 30-60 days. In surgery, conservative hemostasis methods
involving temporary compression are widely used: hemostasis
during acute gastroduodenal ulcer bleeding, liver damage.Thus, temporary compression hemostasis can be suggested as
an alternative to thermal and ultrasound methods and as the one
that causes minimal damage to the ovarian reserve. Furthermore,
phylogenetically the ovary “got used” to permanent monthly
hemorrhages, hematomas and ischemia during ovulation. Taking
into account the peculiarities of ovarian blood supply, as well as
natural monthly traumatization of the ovaries accompanied by
the formation of hematomas in the area of an ovulation stigma, it
was decided to use temporary compression of the ovarian tissue
to achieve hemostasis [3,4].
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