REHABILITATION OF WOMEN WHO HAVE UNDERGONE TUBECTOMY

Аннотация

The features of restoration of the anatomy and function of the fallopian tubes in the early postoperative period after laparoscopic reconstructive plastic surgery were identified and studied in detail. The work for the first time improved the algorithm for perioperative treatment of patients with tubal infertility. Severe degrees of pelvic adhesions prevail in 81.7% of patients with tubal infertility, so grade 2 was detected in 49.5%, grade 3 in 27.3% of women, and grade 4 in 4.9%. For the first time, a comprehensive rehabilitation method was proposed and tested in the early postoperative period, which allowed restoring reproductive function in 60.8% of patients. It was found that 98% of patients with tubal infertility were carriers of sexually transmitted infections, which served as the basis for perioperative antibiotic therapy to reduce the incidence of exacerbation of inflammatory processes and adhesions in the postoperative period. In 51%, tubal infertility is aggravated by additional factors: in 19.2% of women, tubal infertility is combined with sclerocystic ovaries, in 7.7% with peritoneal endometriosis, in 3.8% with ovarian retention cysts, and in 1.9% with uterine fibroids.