Hysterectomy: reality & perspectives

Abstract

Purpose: to improve immediate and distant results of surgical treatment in women with myoma of uterus combined with genital endometriosis and/or endometrial hyperplasia.

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Methods: statistical (on retro and prospective material), paraclinical criteria, functional (ultrasound research, dopplerography, electroencephalography), endoscopic (hysteroscopy, colposcopy, laparoscopy), hormonal (follicle-stimulating hormone, luteotropic hormone, prolactin, estrogens), histomorphological and immunological methods.

Results: 1. Rational usage of described methods on the stage of investigation allowed to raise the level of pre-surgical diagnosis of uterine myoma combined with genital endometriosis and endometrial hyperplasia.

2.    Methods of impartial monitoring of the patient during early post-surgical period and on the stage of rehabilitation (hospital - out-patient servise - physiobalneosanatorium - resort) were instilled into prachce.

3.    We also worked out criteria and high risk groups of patients in mailers of oncopathology and planned the ways of reducing the number of immediate and distant negative results of surgical treatment.

Conclusions: Our work allowed to improve the quality of diagnostics in patients with combined uterine hyperplasia and quality of treatment and rehabilitation in these patients.