POSTTRAUMATIC CERVICAL CONDITIONS: PREVENTION OF THE COMPLICATIONS AFTER MICROIVASIVE INTERVENTIONS

Posttraumatic cervical conditions: prevention of the complications after microivasive interventions DOI: https://doi.org/10.31640/JVD.1-2.2018(21)Keywords: cervical erosive ectropion, hormonal therapy, postoperative complications, implant endometriosis.Abstract The paper is aimed at optimal treatment of posttraumatic cervical pathology. 192 patients with cervical erosive ectropion (67 patients with CIN I) have been observed. The results of the conventional treatment made according to the clinical protocols (control group; n = 64) have been compared with the results of the patient's management according to the proposed algorithm (main group; n = 128). The algorithm includes microsurgical intervention, prolonged use of combined oral contraceptives or dienogest during 6–12 weeks, non-steroid anti-inflammatory drugs immediately after excision, and regenerative agents not earlier than at the fourth week after the excision. The six months after the minor operation the positive therapeutic effect was 1,7 times higher in the main group. The frequency of complications was significantly lower: implant cervical endometriosis – 3,6 times, retention cysts – 4,2 times, abnormal scarring – 3,8 times, relapses of endocervical ectopia and CIN – 2,2 times, postcoagulation hemorrhage – 2,75 times, leukoplakia – 2,6 times. The use of integrated algorithm in the treatment of the cervical erosive ectropion is clinical reasonable. Downloads References Aphar B. S., Brotsman H. L., Shpytser M. Klynycheskaia kolposkopyia. Ylliustryrovannoe rukovodstvo: Per. s anhl. / Pod obshch. red. V. N. Prylepskoi. – M.: Prakt. medytsyna, 2012. – 496 s. Badretdynova F. F., Hlebova N. N., Korotkova L. A. y dr. Akusherskaia travma y rubtsovaia deformatsyia sheiky matky. Nekotorыe spornыe voprosы problemы (obzor lyteraturы) // Med. nauky. – 2016. – № 5. – S. 23–31. Hromova A. M., Krutikova E. I., Nesterenko L. A., Martynenko V. B. 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