POSTOPERATIVE EFFECTIVENESS OF PREOPERATIVE PREPARATION AND TREATMENT OF PATIENTS AT THE TIME OF THE THIRD STAGE OF RETRO AND PELVIC PROLAPSE IN WOMEN

Abstract

Genital prolapse remains one of the unsolved problems of modern gynecology. The aimof the study is to improve the preoperative preparation and postoperative management of patients with grade III pelvic organ prolapse, using modern innovative technology in combination with drugs to reduce postoperative complications and relapses. Materials and methods of research.The object of the study was 217 patients with grade III pelvic organ prolapse who underwent surgical treatment. Results and discussion.110 women with grade III PG received an improved method of preoperative preparation, including irrigation with cavitated low-frequency ultrasound with an aqueous 0.05% chlorhexidine solution in the amount of 200.0, up to 4 times, locally conjugated estrogen, and in the presence of urinary tract infection, acute cystitis -once fosfomycintrimetabol 3.0 grams orally, in recurrent forms of phytopreparation (Canephron N) for 14.5 ±2.5 days. Conclusion:The improved method of preoperative preparation of patients with PTO of the III degree contributed to the reduction of the days of preoperative preparation by 6.0±0.5 days, reduced interoperative blood loss by 2.0 times, reduced the duration of the operation by 37.0±6.35 minutes, the hospital stay decreased by an average of 3.5±0.5 days, and postoperative recurrences after 1 year decreased by 2.4 times and after 2 years by 2.8 times.