Women have medical­and­social features after subtotal hysterectomy

Abstract

DOI: 10.52705/2788-6190-2025-3-08
УДК 618.14-089.873-089.853-031:611.67]-058-039

Research purpose. To estimate medical-and-social features for women after subtotal hysterectomy.
Materials and methods. For determination of medical-and-social features there was the conducted inspection 100 women with the stored menstrual cycle in age from 40 to 50 years, in which in the conditions of gynaecological permanent establishment subtotal hysterectomy was conducted. From them in 50 women subtotal hysterectomy was combined from tubectomy – these patients made a basic group, 50 women which salpinxs were stored in entered in the group of comparison. To the complex of the conducted researches clinical, social, laboratory and instrumental methods were included.
Results. The women of the investigated groups have the conducted analysis of operative interference. More frequent all to the operation a uterine fibroids appeared a testimony with a hemorragic syndrome in 25 (50,7±4,3%) in a basic group and in 27 (54,4±4,7%) in the group of comparison. A large of tumour with the parafunction of nearby organs was a testimony to the operation in 6 (12,6±1,2%) women of basic group and in 5 (9,8±2,8%) women in the group of comparison. Development of pain syndrome for patients with a uterine fibroids in default of effect from conservative therapy served as a testimony to operative treatment in 9 (17,9±1,3%) in a basic group and in 7 (13,4±1,2%) in the group of comparison. Hasty growth of tumour which requires operative interference found out in 5 (8,9±0,5%) patients of basic group and in 7 (13,4±1,2%) in the group of comparison. Adenomyosis, that is accompanied by a pain and hemorragic syndrome, was a testimony for 3 (5,9±0,2%) women of basic group and for 3 (6,3±0,3%) women in the group of comparison. Recurrent endometrial hyperplasia served a testimony to operative treatment for 2 (3,7±0,4%) women in a basic group and in 1 (2,6±0,2%) in the group of comparison.
Conclusion. The results of the conducted researches testify that for women after subtotal hysterectomy medical-and-social features take place at the estimation of level of somatic and concomitant genital pathology, reproductive function on methods of previous treatment. Set medical-and-social features must be taken into account at development of algorithm of diagnostic and treatment-and-prophylactic measures.