Accelerated rehabilitation after hysterectomy in reproductive age patients

Background and aims. The principles of enhanced recovery in operative gynecology, comorbidity, a multimodal approach perioperative support require comprehensive study optimization, the ambiguity literature reports determines relevance this study. aim was to evaluate parameters monitoring after hysterectomy for uterine leiomyoma patients reproductive age using surgery protocols their impact on quality life indicators. Materials methods. To effectiveness protocol hysterectomy, two groups were formed: main prospective group, which included 46 patients, who underwent vaginal without appendages 36 with abdominal used (ERAS) protocols. comparison group (group standard management) 44 34 hysterectomy. postoperative pain level, intraoperative blood loss, diuresis rate, timing urinary catheter removal peristalsis, as well individual activation motor activity. Results. When ERAS, quantitative assessment level (“absence pain”) 1.6 times more severe compared data group; 2.0 shorter, drain – 2.7 peristalsis 1.9 shorter activity 2.9 earlier than group. Conclusions. Studies have demonstrated feasibility laparoscopic technology combination demonstrates fall volume decrease fluid balance, shortening time invasive intravascular intervention, allows improve course early period, relieve syndrome, reduce risk intestinal paresis, shorten rehabilitation and, result,