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Physiological Aspects of the Rehabilitation of the Reproductive Function in Patients after Acute Gynecological Diseases

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Abstract

Due to the high prevalence of acute gynecological diseases, the search for effective approaches to the implementation of the reproductive function in women of the childbearing age after surgical treatment for acute gynecological diseases is an urgent problem of the modern physiology of reproduction. In this study, we have evaluated the proposed approach to the treatment of such patients based on a strategy with elements of the fast track surgery and rehabilitation that includes the methods of physiotherapeutic treatment along with the traditional approaches. The results of our study have demonstrated an improved ovarian blood flow, the preservation of a larger volume of the ovarian reserve and a more effective implementation of the reproductive function.

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Authors and Affiliations

  1. Volynskaya Clinical Hospital of the Office of the Presidential Affairs, 121352, Moscow, Russia

    K. A. Toniyan

  2. People’s Friendship University of Russia, 117198, Moscow, Russia

    A. O. Dukhin

  3. Central State Medical Academy of the Office of the Presidential Affairs, 121359, Moscow, Russia

    V. V. Boyarintsev

Authors
  1. K. A. Toniyan
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  2. A. O. Dukhin
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  3. V. V. Boyarintsev
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Corresponding author

Correspondence to K. A. Toniyan.

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Conflict of interests. The authors declare that they have no actual or potential conflict of interest related to the publication of this article.

Statement of compliance with standards of research involving humans as subjects. The study was conducted in accordance with the biomedical principles of the 1964 Declaration of Helsinki and its later ammendments. The examination of patients, preoperative preparation and postoperative management were conducted following the Annex № 4 of the Order of the Ministry of Health of the Russian Federation № 323 “on the Application Standard of the Amount of the Obstetric–Gynecologic Care” (November 5, 1998) and the Order of the Ministry of Health of the Russian Federation № 572n “on the Enactment of the Provision of Medical Services Statement in Obstetrics and Gynecology Excluding Assisted Reproductive Technologies” (November 1, 2012). The research did not involve patients with decompensated mental or extragenital diseases, malignant and autoimmune diseases, exacerbated infectious-inflammatory diseases, and polyvalent allergy. Every patients participating in the study signed an informed consent after the explanation of potential risks, advantages, and study design.

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Translated by E. Sherstyuk

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Toniyan, K.A., Dukhin, A.O. & Boyarintsev, V.V. Physiological Aspects of the Rehabilitation of the Reproductive Function in Patients after Acute Gynecological Diseases. Hum Physiol 46, 540–547 (2020). https://doi.org/10.1134/S0362119720050138

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  • DOI: https://doi.org/10.1134/S0362119720050138

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