Abstract

Objective
To substantiate and develop a comprehensive treatment strategy for ovarian apoplexy (OA) taking into account ovarian reserve indicators. This strategy will optimize patient management, reduce the frequency of surgical interventions, and minimize the negative impact of treatment on reproductive potential
Materials and Methods
The study was based on the treatment and examination results of 55 cases (11.4%) of OA (study group – 27 (11.2%), control group – 28 (11.7%). Three groups were formed based on the clinical course of the disease: Group I – 17 (30.9%) women with hemorrhagic OA, Group II – 27 (49.1%) women with painful OA, and Group III – 11 (20.0%) women with mixed OA, characterized by a combination of features of the first two forms.
Results
To compare treatment strategies for ovarian apoplexy, data from 55 patients with acute abdomen who underwent surgery with the assistance of a gynecologist were analyzed. In the control group (n=28), the laparotomy approach was predominant. In the gynecology department, organ-preserving and gentle approaches were more frequently used. The preference for gentle hemostasis methods reduced thermal damage and contributed to better preservation of ovarian reserve, as confirmed by AMH and FSH levels in 11 (40.7%) patients in the study group in the early postoperative period.
Conclusion
A comprehensive treatment strategy for ovarian apoplexy with an organ-preserving approach, consideration of ovarian reserve, the use of laparoscopy with hemostatic sutures, and subsequent hormonal monitoring minimizes damage to ovarian tissue and preserves the reproductive potential of women of reproductive age

Keywords

ovarian apoplexy diagnostics laparoscopy ovarian reserve anti-müllerian and follicle-stimulating hormone

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