MANAGEMENT TACTICS IN THE PRESENCE OF A FORMATION IN THE OVARY AFTER ITS TRANSPOSITION

The purpose of this study is to study the features of management tactics in the presence of formation in the ovary after its transposition. We investigated the management of patient Sh., 45 years old, who was hospitalized in the gynecology department of the V.D. Seredavin State Medical University with a directional diagnosis: "A large tumor of the transpositioned left ovary D27. The condition after combined treatment for cervical cancer pT1bN0M0 stage 1b (squamous cell carcinoma). Varicose veins of the lower extremities". The patient underwent surgery in the following volume: " Laparotomy. Removal of the transpositioned ovary on the left." The result of the histological examination of the macropreparation: fragments of ovarian tissue with fibrous bodies, a simple serous cyst. The patient's condition after the operation is satisfactory. Based on the study of this clinical case, the following conclusions can be drawn. Patients who have undergone ovarian transposition should be monitored by an obstetrician-gynecologist, since they still have the possibility of pathological changes in the transposed ovary. Based on numerous studies, it can be argued that the position of the ovary in the pelvic region or beyond does not reduce its functional activity while observing the technique of transposition, which preserves adequate blood supply and innervation of the organ. In this clinical case, ovarian function was preserved, as evidenced by the absence of a clinic for premature ovarian failure in the patient. At the same time, the patient did not undergo regular follow-up with a gynecologist, which led to the appearance of a significant amount of formation in the transpositioned ovary and technical difficulties in performing the operation. Histologically, this formation was benign, it was a cyst, but, given its large size, occupying almost the entire volume of the ovary, it was not possible to perform organ-preserving intervention. Despite this, the patient's condition remained satisfactory, since by the time of the operation the patient had reached the age of menopausal transition. Thus, patients who have undergone ovarian transposition surgery should remain under the close supervision of an obstetrician– gynecologist even after successful treatment for cancer and recovery, since transposition ovaries may be at risk of pathology in them, including malignant.