Banakhevich R. Recurrent genital prolapse: new approaches to the pathogenesis evaluation, diagnosis, surgical tactics and rehabilitation

The thesis is devoted to the solution of scientific problems - improving the effectiveness of treatment of patients with recurrent genital prolapse and fewer intraoperative and postoperative complications through the development and implementation of evidence-based algorithm survey, preparation for surgery, the surgical correction of pathology and postoperative rehabilitation. First developed and implemented evidence-based treatment algorithm for women with various forms of RSE based compensation degree of prolapse, gynecologic pathology, the severity of the DST, thus improving the quality of life and the effectiveness of treatment of patients with RSE, reduce the frequency of recurrent relapses to 3,8 % (p<0,001), to reduce the number of postoperative complications by 19,4 % (p<0,05), while hospitalization by 58,2 % (p<0,02) in 81,3 % of cases of organ perform reconstructive surgery. Embedded methods reduce the risk of relapse by 94,1 % (p<0,001), which allows us to recommend their widespread use in gynecological hospitals for treatment of primary and recurrent forms of genital prolapse.