Sunday, August 11, 2019

Bio-psychological Medicine - BJSTR Journal



Abstract


#Surgical interventions are primarily associated with the need for #hemostasis. All types of energy (mechanical, electrical, thermal, welding, laser, etc.) as well as chemical adhesives and sealants that are used in surgery affect the ovarian tissue and damage the ovarian reserve in women of reproductive age to a different extent depending on various #pathophysiological mechanisms [1-4]. Ovarian suturing causes an intense inflammatory reaction of the tissue to the foreign body (tissue necrosis, granulation tissue) even in the case when the suture material dissolves within 30-60 days. Conservative hemostasis methods involving temporary compression are widely used in surgery to treat liver damage and control acute #gastroduodenal ulcer bleeding. Thus, compression hemostasis can be suggested as an alternative to thermal and ultrasound methods in terms of minimizing the impact on the ovarian reserve.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.

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