The influence of radical surgery on the uterus and appendages on the formation of metabolic syndrome


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Abstract

The aim of the study is to estimate the contribution of radical surgery on the uterus and appendages in the formation of the metabolic syndrome (MS). Material and methods. The study involved 100 patients, who underwent surgery on the pelvic organs in the extent of subtotal hysterectomy with bilateral adnexectomy or without it. Within 12 months after the operation in the dynamics there were investig TED changes in the body mass index (BMI), blood pressure (BP) and carbohydrate metabolism. Results. The removal of the uterus was established to fail to influence on the increase in body mass index, however, it has an impact on the indices of carbohydrate metabolism, in particular - on the change in the HOMA-IR index, and systolic blood pressure. The persistent increase in systolic blood pressure appeared to be the only index identified by the 12th month of the observation.

About the authors

E. B Ginzburg

«Kaluga regional clinical hospital»

Kaluga, 248007, Russian Federation

Elena A. Sosnova

I.M. Sechenov First Moscow State Medical University; V.F. Snegirev Clinics of Obstetrics and Gynecology

Email: sosnova-elena@inbox.ru
MD, PhD, DSci., Professor of the Department of Obstetrics and Gynecology No 1, Medical Faculty of the I.M. Sechenov First Moscow State Medical University Moscow, 119991, Russian Federation

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