Uterine myoma: electrocorrection of postoperative hemodynamic disorders

Abstract

Uterine myoma is often accompanied by arterial hypertension (AH), which may become more severe after surgery for the gynecologic disease.

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Study objective: Substantiation of intensive electroimpulse therapy (IEIT), as permitting to eliminate hemodynamic disorders in patients with AH after subtotal hysterectomy.

Methods: Clinical and complex physiologic examination (conjuctival vasoscopy, rheoencephalography, electrocardiography) of 55 operated patients (average age 44±1,3 yrs). 28 patients underwent cranial IEIT (consisting of 15-20 procedures - 2-3 daily) 4 weeks after surgery, 27 patients presented control group.

Results: IEIT appear to enhance microcirculation, hemocirculation in the brain hemispheres and heart automatism, resulting in stable hypotensive effect (for 8-10 mnth) in patients with mild AH, and benefits for patient’s life quality. In case of initial arterial pressure higher than 170/105 mm hg, the effects of IEIT last no longer than 3 mnths and require combination with drugs in individually reduced doses.

Conclusions: The study demonstrates potentialities and advisability of electrocorrection of hemodynamic disorders after surgical treatment of uterine myoma, using IEIT, as of the alternative to medical therapy of mild AH and means of reduction of medicamental load in cases of moderate AH.