Differentiated going near surgical treatment of the united pathology of uterus without and with pelvic organ prolapse

Abstract

DOI: 10.52705/2788-6190-2023-04-11
УДК 618.14-06:61871-007.43]-089.168

The objective: increase of efficiency of surgical treatment of the united pathology of uterus without
and with pelvic organ prolapse on the basis of development and introduction of the differentiated
going near the choice of method of operation.
Materials and methods. By us the conducted analysis of results of surgical treatment 120
patients which are operated concerning the of high quality diseases of uterus and pelvic organ
prolapse with the use of vaginal operative access. In quality a basic (base) operation to all patients
was done vaginal hysterectomy. Distinctive features had variants of vaginal operations for the
patients of different clinical groups.
Distributing of patients on clinical groups it is done by us depending on testimonies for the
delete of uterus, presence of concomitant pelvic organ prolapse (complicated or not by a stress
incontinence of urine) and age of patients.
Results. At surgical treatment of the united pathology of uterus without and with pelvic organ
prolapse it is necessary to give advantage to explorer anaesthesia (epidural anaesthesia or spinal
anaesthesia) on the followings moments: reduction of duration of operations; decline of volume
of blood loss; risk of thromboembolic complications; acceleration and facilitation of postoperative
rehabilitation for somatically weak patients and patients summer and years old.
Using of the offered differentiated approach for surgical treatment of the united pathology of
uterus without and with pelvic organ prolapse allows to mark a considerable improvement 96,7%
patients, and 83,3% from them considered to itself pulled round fully. Patients had a percent
of positive results of surgical treatment (93,3%) most high without pelvic organ prolapse, what
hysterectomy was executed only concerning the of high quality diseases of uterus and appendages
with laparoscopic assistance.
Conclusion. The results of the conducted researches fully confirm the necessity of the
differentiated going near treatment of the united pathology of uterus without and at presence
of pelvic organ prolapse. Developed and inculcated by us an algorithm allows to obtain positive
results both in early and in remote terms after an operation.