Adhesive process in women after reconstructive and plastic surgery of the fallopian tubes and its treatment using systemic enzyme therapy
The article presents the recovery protocol after reconstructive reconstructive therapy protocol after reconstructive and plastic surgery of the fallopian tubes. A total of 57 patients diagnosed with tuboperitoneal infertility were followed up. Their age was 25 to 37 years. The patients complained of 2-8-year infertility, aching lower abdominal pain, and dysmenorrhea. They had a history of prior inflammatory processes (1 to 5 episodes) (55%), intrauterine manipulations, including artificial abortions (41.7%), and pelvic or abdominal surgery (48.3%). Tuboperitoneal infertility was diagnosed on the basis of anamnestic data and 26% of its cases were confirmed by ultrasound and hysterosalpingography. All the patients underwent reconstructive surgery of the fallopian tubes via endoscopic access: salpingolysis, fimbrioplasty, salpingostomy. On the first postoperative day, rehabilitation therapy was initiated using the proposed technique: physiotherapy with ultrasonic frequency currents according to the vaginal technique using an Ultraton apparatus. The entire cycle consisted of 15 sessions (continued in the outpatient setting). For enzyme therapy, Phlogenzym was prescribed in 2 tablets thrice daily on 2–3 days after surgery; the cycle of treatment was 7 days. Upon completion of an enzyme therapy cycle, the patients were prescribed 3 Wobenzym tablets thrice daily for 2-3 months. Rehabilitation therapy is proposed to involve non-drug treatments: physiotherapy and systemic enzyme therapy medications. Systemic enzyme therapy enhances the effectiveness of recovery after reconstructive surgery.Belskikh O.L., Korotkikh I.N.
Keywords
tuboperitoneal infertility
salpingolysis
adhesive process
systemic enzyme therapy
References
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Received 08.11.2019
Accepted 29.11.2019
About the Authors
Olga L. Belskikh, PhD, assistant of the Department of Obstetrics and Gynecology No. 1 of Voronezh State Medical University named after N.N. Burdenko.Phone: + 7 (473) 246-1446. E-mail: olgaboni@mail.ru
394066 Russia, Voronezh, Moscow Ave, d. 151.
Irina N. Korotkikh, MD, professor, head. Department of Obstetrics and Gynecology №1 of Voronezh State Medical University. N.N. Burdenko.
Tel.: +7(473)257-9674. E-mail: korotkikh_1950@mail.ru. 394066 Russia, Voronezh, Moscow Ave, d. 151.
For citation: Belskikh O.L., Korotkikh I.N. Adhesive process in women after reconstructive and plastic surgery of the fallopian tubes and its treatment using systemic enzyme therapy.
Akusherstvo i Ginekologiya / Obstetrics and gynecology. 2019; 12: 184-86.(In Russian).
https://dx.doi.org/10.18565/aig.2019.12.184-186
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