Gladenko S. Optimization of surgical treatment of the combined pathology of uterus and genital prolapse.

Dissertation work is devoted to depression of frequency of recediving of genital prolapse at women after surgical treatment of the combined pathology of a uterus on the basis of development and deployment of the differentiated approach to choice of technique of operation. New aspects of a pathogenesis of genital prolapse which consist in negative influence of high frequency of chronic pathology of lungs and diseases of a gastrointestinal tract (long rising of intra abdominal pressure) and appreciable level of endocrine pathology and varicose disease (an incompetence of connecting tissue) are presented. The negative role of genital prolapse at patients with the combined pathology of uterus in deterioration of life of women before expeditious treatment is shown and at development of various options of recediving. Need of optimization of surgical treatment of the combined pathology of uterus without and with genital prolapse is scientifically proved. Comparative aspects of frequency and structure of an accompanying genital and somatic case rate at patients with the combined pathology of uterus without and with genital prolapse are established. Extragenital risk factors (long rising of intra abdominal pressure and an incompetence of connecting tissue) developments of ptosis and abaissement of internal genitals are presented.Possibilities of contraindications for a vaginal hysterectomy at women with the combined pathology of a uterus are analysed. The main advantages of conduction anesthesia are presented at surgical treatment of the combined pathology of uterus without and with a genital prolapse. Tactics of surgical treatment of the combined pathology of uterus and genital prolapse on the basis of the differentiated approach to various techniques of operations is optimized.