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Abstract
Aim.
The aim of our work was the development and testing method of hysterectomy, which would greatly facilitate radical hysterectomy in patients who are overweight.
Materials and methods.
In the main group of supervision were included 76 women who had 0 and stage 1 prolapse by POP-Q classification and were operated under minimally invasive surgery of RPCPCM in the period from 2019 to 2020because of uterine fibroids by the method developed by us.The control group consisted of 50 women whom was performed intrafascial hysterectomy by the method of Oldridge. To study the vaginal profile marked by two indicators: the length of the vagina and the range of displacement of the proximal point of the vagina (apex), which were determined before surgery and 24 months after surgery at intervals of one year. Determining the length of the vagina was performed in the supine position, immediately determine the most proximal point of the vagina.
Results and discussion
Conclusions.
Methods of intrafascial hysterectomy using high-frequency diathermy are effective in preventing prolapse stump and shortening of the vagina. Shortening of the vagina in patients in the control group may have been caused by the degenerative processes due to serious injury of support structures and vessels of proximal vagina with the emergence in this context of inflammatory processes in the stump. Shortening of the vagina in patients operated on the proposed method was observed. Trends shortening of the vagina or prolapse at follow-up were found.
References
Zaporozhan, V. N., Procenko, A. A., Kucharski, V. V., & Mazorchuk B. F. (2004). Prevention postgisterektomicheskogo prolapse during transabdominal hysterectomy. Reproductive health in women, 17, 122-125.
Krasnopolskiy, V. I., Radzinsky, V. E. et al. (1997). Pathology of the vagina and cervix. M: Medicine, 272.
Procenko, O. O., Dragevska, M. M. (2002). The problem standartizatsії termіnologії vipadіnnya zhіnochih statevih organіv that rozladіv funktsії pelvic floor. Pediatrics, obstetrics that gynecology, 5, 81-85.
Hirsch, H. A., Kaeser, O., Iklé, F. A. (1999). Operative Gynecology: Atlas: Trans. from English. M.: GEOTAR Medicine, 656 p.
Bump, R. C., Mattiasson, А., Во, К., & Smith A. R. (1996). The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am. J Obstet.Gynecol., Jul, 175(1), 10-7.
Pilsgaard, K., Mouritsen, L. (1999). Follow-up after repair of vaginal vault prolapse with abdominal colposacropexy. Acta ObstetGynecol Scand., Jan, 78(1), 66-70.
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