Features of surgical treatment of the combined pathology of uterus without and with pelvic organ prolapse

Abstract

DOI: 10.52705/2788-6190-2024-02-04
УДК 618.1-089.168.1-06-084-053.86/.89

The objective: increase of efficiency of surgical treatment of the combined pathology of uterus
without and with pelvic organ prolapse on the basis of development and introduction of the
differentiated approach 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. As 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
indications for the hysterectomy, presence of concomitant pelvic organ prolapse (complicated and
(or) by a stress incontinence of urine) and age of patients.
Results. Using of the offered differentiated approach for surgical treatment of the combined
pathology of uterus without and with pelvic organ prolapse allows to mark a considerable
improvement in 96,7% patients, and 83,3% from them considered itself completely cured. 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 benigh diseases of uterus and
appendages with laparoscopic assistance.
Conclusions. The results of the conducted researches fully confirm the necessity of the
differentiated approach treatment of the combined 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.