Application of modern non-drug technologies for the full formation of postoperative scar in patients after plastic surgery for rectocele

Abstract

Background. In recent decades, various physiotherapeutic methods have been widely used in surgical practice in order to obtain an anti-inflammatory and bactericidal effects, accelerate reparative and regenerative processes, and improve microcirculation in the postoperative area.

Aim: to develop and scientifically substantiate optimized complex programs, including general magnetotherapy, fractional microablative therapy with a CO₂ laser, electrical myostimulation with the biological connection of the pelvic floor muscles and a special complex of physiotherapy exercises (exercise therapy) in patients of different age groups after reconstructive plastic surgery for rectocele.

Methods. The article presents data on treatment of 160 women of childbearing, peri- and menopausal age with rectocele of II–III degree. Patients after surgical treatment of rectocele, in the late postoperative period for the full formation used rehabilitation programs, including in various combinations of General magnetotherapy, electromyostimulation with biological connection of the pelvic floor muscles, procedures of intra-vascular fractional microablative therapy with CO₂ laser and a special complex of therapeutic physical education.

Results. As a result of the research, it was found that when combined with General magnetotherapy, fractional microablative CO₂ laser therapy, electromyostimulation with biological connection of the pelvic floor muscles, and a special complex of physical therapy in patients after plastic surgery for rectocele, a pronounced trophostimulating effect is formed, to a greater extent in patients with peri- and of menopausal age, which is particularly important, as they have in the background of the age hypoestrogenia perimenopausal and postmenopausal women marked atrophy.

Conclusions. Complex treatment that promotes proper formation of postoperative scar by improving microcirculation and thickening of the dermis and mucosa, endometrium, submucosa and connective tissue, as confirmed by the ultrasound scan.

Keywords

pelvic organ prolapse, rectocele, childbearing, peri- and menopausal age, surgery, non-drug technologies, general magnetotherapy, electromyostimulation, biofeedback, fractional microablative CO2 laser therapy, postoperative scar, ultrasound scanning, scar thickness, scar elevation, acoustic scar density

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