
POSTOPERATIVE EFFECTIVENESS OF PREOPERATIVE PREPARATION AND TREATMENT OF PATIENTS AT THE TIME OF THE THIRD STAGE OF RETRO AND PELVIC PROLAPSE IN WOMEN
Matyakubov Bunyod Bakhromovich , Doctor Obstetrical Gynecologist, Tashkent Medical Academy Urgench Branch, Department Of Obstetrics And Gynecology, Uzbekistan Kulmatov G‘Anijon Otakhonovich , Student, Urgench Branch Of Tashkent Medical Academy, Urgench, Uzbekistan Niyazmetov Rakhmatulla Ermatovich , Doctor Of Medicine, Professor, Department Of Obstetrics Gynecologists, Tashkent Institute Of Advanced Medical Studies, UzbekistanAbstract
Genital prolapse remains one of the unsolved problems of modern gynecology.
The aim of 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 fosfomycin trimetabol 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.
Keywords
Pelvic organ prolapse, genital prolapse, irrigation
References
Badal'yants D.A. Clinical features of genital prolapse in patients who need surgical treatment. 2020. S. 38-39.
Gafurov Zh.M. Improvement of sling plastic surgeries in women and assessment of their effectiveness. Abstract of the dissertation of Doctor (PhD) of Philosophy in Medical Sciences .Tashkent.2021.p.41
Danilina O.A., Volkov V.G. Prevalence of pelvic organ prolapse among women of reproductive age // Journal of new medical technologies, 2022 – vol. 29, No. 1 – p. 29-33.
Orazov M.R., Silantyeva E.S., Soldatskaya R.A., Belkovskaya M.E. Efficacy of physiotherapy in the treatment of pelvic floor muscle insufficiency in women of reproductive age. Doctor.Ru. 2020; 19(8):71-76.
Radzinsky V.E., Orazov M.R., Tokar L.R. et al. Perineology. Aesthetic gynecology. Moscow, 2022-416p.
Mattsson, N.K. [et al.] Pelvic organ prolapse surgery and quality of life-a nationwide cohort study // Am J Obstet Gynecol.- 2020.- Vol.222, №6.-Р:588.
NICE Guidance - Urinary incontinence and pelvic organ prolapse in women: management: NICE (2019) Urinary incontinence and pelvic organ prolapse in women: management. BJU Int. 2019 May; 123(5):777-803. doi: 10.1111/bju.14763. PMID: 31008559.
Хамдамов И.Б. Клиническая оценка эффективности традиционного подхода лечения грыж передней брюшной стенки у женщин фертильного возраста // Вестник врача. –Самарканд 2022. № 2.2 (104).- С.65-70.
Хамдамов И.Б., Мирходжаев И.А. Хакимов М.Ш. Хамдамов Б.З. Эволюция использования полимерных имплантантов для герниопластики // Тиббиётда янги кун. – Ташкeнт; 2021,- №2 (34) С.-107-111.
Khamdamov I.B., Khamdamov A.B. Differentiated approach to the choice of hernioplasty method in women of fertile age (Clinical and experimental study) // Тиббиётда янги кун. – Бухоро, 2021.-№ 6 (38/1).-С. 112- 114.
Хамдамов И.Б., Хамдамов А.Б. Фертил ёшдаги аёлларда эндовидеохирургик герниопластика // Тиббиётда янги кун. Бухоро, 2021.-№6 (38/1) -С. 25-27.
Хамдамов И.Б. Experimental determination of the extensibility of the anterior abdominal wall tissues at different times of pregnancy using various approaches to hernioplasty// Academicia: An International Multidisciplinary Research Journal Vol. 12, Issue 04, April 2022 SJIF 2022 = 8.252 Р.193-201
Хамдамов И.Б. Совершенствование тактических подходов в лечении грыж передней брюшной стенки у женщин фертильного возраста // Тиббиётда янги кун. Бухоро, 2022.-№10(48)- C. 338-342. 14. Хамдамов И.Б. Морфофункциональные особенности брюшного пресса у женщин репродуктивного возраста // Тиббиётда янги кун. Бухоро, 2022.-№3(41)- C. 223-227.
Khamdamova M.T. Ultrasound features of three-dimensional echography in assessing the condition of the endometrium and uterine cavity in women of the first period of middle age using intrauterine contraceptives // Biology va tibbyot muammolari. - Samarkand, 2020. - No. 2 (118). - P.127-131.
Khamdamova M. T. Ultrasound аssessment оf changes in the endometrium of the uterus in women of the first and second period of middle age when using intrauterine and oral contraceptives // Биомедицина ва амалиёт журнали. – Ташкент, 2020. - №2. - 8 часть. - С.79-85.
Khamdamova M. T. Аnthropometric characteristics of the physical status of women in the first and second period of middle age // A new day in medicine. Tashkent, 2020. - № 1 (29). - C.98-100.
Khamdamova M.T. Age-related and individual variability of the shape and size of the uterus according to morphological and ultrasound studies // News of dermatovenereology and reproductive health. - Tashkent, 2020. - No. 1- 2 (88-80). - P.49-52.
Khamdamova M. T. Аnthropometric characteristics of the physical status of women in the first and second period of middle age // Тиббиётда янги кун. Ташкeнт, 2020. - № 1 (29). - C.98-100.
Хамдамова М.Т. Возрастная и индивидуальная изменчивость формы и размеров матки по данным морфологического и ультразвукового исследований // Нoвocти дeрматoвeнeрoлoгии и рeпрoдуктивнoгo здoрoвья. - Ташкeнт, 2020. - № 1-2 (88-80). - C.49-52.
Хамдамова М.Т. Ультразвуковая особенности трехмерный эхографии в оценке состояния эндометрия и полости матки у женщин первого периода среднего возраста применяющие внутриматочные контрацептивные средства // Биология ва тиббиёт муаммолари. - Самарканд, 2020. - №2 (118). - С.127-131.
Khamdamova M. T. Ultrasound аssessment оf changes in the endometrium of the uterus in women of the first and second period of middle age when using intrauterine and oral contraceptives // Биомедицина ва амалиёт журнали. – Ташкент, 2020. - №2. - 8 часть. - С.79-85.
Хамдамова М.Т. Особенности ультразвуковых параметров матки у женщин первого и второго периода среднего возраста применяющие инъекционные контрацептивные средства // Тиббиётда янги кун. - Ташкeнт, 2020. - № 2/1 (29/1). - C.154-156.
Хамдамова М.Т. Особенности ультразвукового изображения матки и яичников у женщин второго периода среднего возраста применяющие комбинированные оральные контрацептивные средства // Тиббиётда янги кун. - Ташкeнт, 2020. - № 2 (30). - C. 258-261.
Хамдамова М.Т. Индивидуальная изменчивость матки и яичников у женщин применяющие и не использующие различные виды контрацептивные средства // Тиббиётда янги кун. - Ташкeнт, 2020. - № 3 (31). - C. 519-526.
Khamdamova M. T. Еchographic features variability in the size and shape of the uterus and ovaries in women of the second period of adulthood using various contraceptives // Asian Journal of Multidimensional Research - 2020. – N9 (5). - P.259-263.
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