Medical Rehabilitation of Patients Who Have Undergone Surgical Treatment of Gynecological Diseases: a Scientometric Analysis of Studies

Denis V. Kovlen, И. С. Захаров, E. F. Kondrina, А. А. Безменко, Nikita A. Trigubchuk
In: Bulletin of Rehabilitation Medicine · 2025 · vol. 24(2) , pp. 87–106 · doi:10.38025/2078-1962-2025-24-2-87-106 · W4410214746
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Abstract

INTRODUCTION. Surgical treatment of gynecological diseases in patients of reproductive age is often associated with a number of complications. These problems initiate a discussion regarding the implementation of measures aimed at restoring the impaired functions of the genitals. AIM. Using the PEDro scale (Physiotherapy evidence database scale), conduct a scientometric analysis of clinical studies assessing the effectiveness of the use of physical and rehabilitation medicine technologies in women who have undergone surgical treatment of gynecological diseases. MATERIALS AND METHODS. Based on the primary identification of 294 articles localized in domestic and foreign scientific databases (PEDro, PubMed, EMBASE, Cochrane, eLIBRARY.RU) in the period 1989–2024, as well as further screening and assessment of compliance with inclusion and exclusion criteria, 49 scientific publications were selected. The quality of research methodology was assessed based on the PEDro scale. RESULTS AND DISCUSSION. The average score on the PEDro scale in the postoperative period was: for physical exercises — 5.3 ± 1.7, for electrotherapy — 5.4 ± 1.4, magnetic-laser therapy — 5.4 ± 1.4, for balneotherapy — 4.5 ± 1.0, for lymphatic drainage therapy — 4.5 ± 1.0, for acupuncture — 4.3 ± 1.2, for psychoeducational programs — 5.0 ± 1.4, for relaxation techniques — 5.0 ± 1.4. The use of rehabilitation technologies, depending on the impaired functions and the scope of surgical intervention, contributed to positive changes in the psychoemotional and vegetative status, a decrease in the severity of postoperative pain syndrome, sexual disorders, normalization of the hormonal profile, restoration of ovarian-menstrual function and fertility, which correlated with an improvement in the quality of life of patients. CONCLUSION. As a result of the scientometric analysis of publications, a list of benign domestic and foreign studies has been determined that study the effectiveness of the use of technologies of physical and rehabilitation medicine with proven effectiveness in patients who have undergone surgical treatment of diseases of the pelvic organs.

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