Prevention of postoperative infectious complications in patients with genital prolapse

Abstract

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. 38 women agedfrom 42 to 63 years were examined in the postoperative period. To assess the effect of the proposed complex approach, patients of the 1st group (treatment, n = 18) received Depantol, 1 suppository intravaginally 2 times a day during 5 days, starting from the 1st day of the postoperative period. Patients of 2nd group (control, n = 20) received standard rehabilitation therapy. Patients in both groups were subjected to a standard medical examination prior to surgery. Clinical and microbiological assessment of the treatment effect was carried out on days 1, 6 and 10 after surgery. The material for multiple investigations in dynamics was the vaginal discharge. Therapeutic effect was assessed on the state of suture healing, absence of complaints, normalization of vaginal microflora. So, before the operation, in the examined patients, microbiological examination of vaginal microflora before the operation did not have significant differences between the groups. Observation in the postoperative period showed that in 30% of patients in the control group the presence of dysbiosis was established, while in the main group this indicator was determined reliably less than 2 times.