Postoperative optimization in genital prolapse caused by connective tissue dysplasia

Abstract

The issue of genital prolapse among women is still of great importance due to the influence both on medical and social status, reproductive function and quality of life of women. According to the published data, in women of reproductive age, the incidence of genital prolapse is 63,1 per cent, and in women over 50 years of age - 50%. In the structure of indications for scheduled surgical treatment, genital prolapses occupy the third place after benign tumors of genital organs and endometriosis. The most recent and promising direction are surgeries with the use of synthetic mesh implants. Features of the postoperative period during their use are not sufficiently studied. The incidence of purulent and septic complications in the postoperative period reaches 30%. Therefore, vaginal dysbiosis before surgery, as well as that caused by the influence of stress hormones, blood loss and tissue damage during surgical treatment dramatically increases the risk of pyoinflammatory complications. Therefore, new pathogenetically justified methods of postoperative care are needed.