Experience in the treatment of patients with the isthmus myomatous nodes
Antropova E. Yu.¹, Chechulina O.V.¹, Mazitova M.I.¹, Sharafeev A.Z.¹, Mingazetdinov M.A.<sup>2

1</sup> Kazan State Medical Academy- a branch of Russian Medical Academy of Continuous Professional Education
² Municipal Clinical Hospital №7, Kazan

Up to 75% of patients with uterine myoma undergo surgical treatment, while 8-9 of 10 patients undergo a radical surgery. A feature of this location of nodes, regardless of size, are functional disorders of the urinary system with rapid development of organic pathology of the kidneys and ureters, as well as venous congestion in the small pelvis and lower limbs. Surgical treatment of patients with atypical location of the uterine myoma nodes belongs to the category of traumatic, technically complex operations and has a high risk of intra - and postoperative complications. The enucleation of lower nodes refers to the operations of high complexity, because of the difficulty of approach to the tumor, the limited mobility of the uterus, the possibility of serious complications such as damage of the bladder, crossing the ureters, the development of bleeding. The article analyzes two clinical cases of young patients 26 and 28 years with the isthmus location of the nodes, who addressed to the Department of obstetrics, gynecology and reproductive medicine of Kazan State Medical Academy with the desire to preserve the uterus and have a later pregnancy. Conducting of the uterine artery embolization reduced the risk of bleeding and improved visualization, due to a significant reduction of nodes.

Key words: uterine myoma, myomectomy, uterine artery embolization.
For citation: Antropova E. Yu., Chechulina O.V. , Mazitova M.I. et al. Experience in the treatment of patients with the isthmus myomatous nodes // RMJ. 2017. № 12. P. 905–907.