Оптимізація хірургічного лікування поєднаної патології матки і генітального пролапсу

Abstract

The objective: depression of frequency of recediving of genital prolapse at women after surgical treatment of the combined pathology of uterus on the basis of development and deployment of the differentiated approach to choice of technique of operation. Materials and methods. We carried out the analysis of results of surgical treatment of 90 patients which were operated concerning benign diseases of uterus and genital prolapse with use of vaginal quick access. As the main (basic) operation by all patient was executed vaginal hysterectomy. Options of vaginal operations had essential features at patients of various clinical groups. Separation of patients into clinical groups was made depending on indications for excision of uterus, existence of an accompanying prolapse of genitalias (complicated or with stressful incontience of urine) and age of patients. Results. Efficiency of the differentiated approach at surgical treatment of the combined pathology of uterus with genital prolapse makes 96.7%, thus 83.3% of women consider themselves healthy. The highest frequency of recediving (6.7%) takes place at women without genital prolapse by which the hysterectomy was executed only concerning benign diseases of uterus of appendages with laparoscopic assistention. Conclusion. Use of the differentiated approach to surgical treatment of the combined pathology of uterus and genital prolapse allows to increase efficiency, to reduce the frequency of recediving and to improve quality of life of women. Key words: combined pathology of uterus, genital prolapse, surgical treatment.