N 4 (195) 2025. P. 69–72

REHABILITATION IN SURGICAL GYNECOLOGY: EXPERIENCE OF A UNIVERSITY CLINIC

V. G. Marichereda, S. V. Busel

Odesa National Medical University, Odesa, Ukraine

DOI 10.32782/2226-2008-2025-4-11

Introduction. Rehabilitation is a critical part of gynecological care, as timely recovery ensures return to normal activity and prevents disability. According to WHO, gynecological morbidity accounts for up to 5.1% of years lived with disability in women of reproductive age, with the majority of cases reported in low-income countries such as Ukraine. Despite advances in surgical techniques, the problem of postoperative rehabilitation in gynecology remains insufficiently studied.

The aim of the work. To evaluate the effectiveness of rehabilitation after gynecological surgery under the conditions of a university clinic. Materials and methods. A prospective study was conducted at the Center for Reconstructive and Restorative Medicine during 2021–2024. The outcomes of 86 patients after laparoscopically assisted vaginal hysterectomy were analyzed. Individual rehabilitation programs were designed according to current protocols. Quality of life (QoL) was assessed with HQoL-15D before and after surgery and at 3-month follow-up. A control group included 22 women after hysterectomy without a full rehabilitation course. The mean age of patients was 37.8±0.6 and 38.2±0.9 years, respectively (p>0.05). Statistical analysis used frequency and variance methods (MS Excel).

Results and discussion. Postoperative recovery was uneventful in all cases; average hospital stay was 2.2±0.1 days. Women in the rehabilitation group reported significant improvements in pelvic function, daily activity, vitality, sexual activity, and reduction of discomfort and distress (p<0.05). In contrast, control patients more frequently experienced abdominal pain, urinary incontinence, and dyspareunia. Deviations from individual rehabilitation programs negatively affected outcomes.

Conclusions. Comprehensive rehabilitation after gynecological surgery significantly improves adaptation and long-term QoL. University clinics provide advantages due to professional capacity, scientific units, and an integrated multidisciplinary environment that ensures effective physical and psychosocial recovery

Keywords: surgical gynecology, rehabilitation, quality of life, medical management.

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