[Influence of complex rehabilitation programs on the uterine blood flow in patients of different age after plastic surgery for rectocele].

Autor:	Zhumanova EN; Center of Gynecology, Oncology, Reproductive and Aesthetic Medicine in Clinical Hospital 1 of MEDSI JSC, Krasnogorsk, Russia.; Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia., Koneva ES; Center of Restorative Medicine in Clinical Hospital 1 of MEDSI JSC, Krasnogorsk, Russia.; Sechenov First Moscow State Medical University, Moscow, Russia., Epifanov VA; Evdokimov Moscow State Medical University, Moscow, Russia., Korchazhkina NB; Evdokimov Moscow State Medical University, Moscow, Russia.; Petrovsky National Research Center of Surgery, Moscow, Russia., Illarionov VE; Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia., Elfimov MA; Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia., Kotenko KV; Evdokimov Moscow State Medical University, Moscow, Russia.; Petrovsky National Research Center of Surgery, Moscow, Russia., Lyadov KV; Sechenov First Moscow State Medical University, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2021 (1), pp. 55-61.
DOI:	10.17116/hirurgia202101155
Abstrakt:	Objective: To develop the optimized complex programs, including general magnetotherapy, fractional microablative therapy with a CO2 laser, electromyostimulation with biofeedback of the pelvic floor muscles, and a special exercise therapy complex in late rehabilitation programs for women of different age after reconstructive plastic surgery for rectocele. Material and Methods: There were 200 women of childbearing, peri- and menopausal age with rectocele grade II-III and 20 healthy women of comparable age. All patients were divided into 4 groups by 50 womes: main group, two comparison groups and control group. Surgical treatment of rectocele was followed by long-term postoperative rehabilitation including symptomatic therapy, general magnetotherapy, and electromyostimulation with biofeedback of the pelvic floor muscles, intra-vaginal fractional microablative therapy with a CO2 laser and special complex of therapeutic physical education. Results: General magnetotherapy in early (1 day) postoperative period and complex rehabilitation in long-term postoperative period (within a month after surgery) including 2 procedures of intra-vaginal microablative fractional therapy with carbon dioxide laser, electromyostimulation with biological connection of the pelvic floor muscles and special complex of therapeutic physical education ensured more significant improvement of uterine blood flow regardless age and baseline disorders in the uterine arteries in patients with rectocele. In our opinion, this is primarily due to vasoactive effects of general magnetotherapy, recovery of circulation via relief of spasm in the arteries and arterioles, improved vein contractility and venous outflow. These processes combined with electrical stimulation and therapeutic exercises of pelvic floor muscle followed by their reinforcement, as well as fractional microablative therapy ensured significant vascular effect.
Databáze:	MEDLINE
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