New approaches to formation of a mature postoperative scar in patients after rectocele surgery

The article presents data on the management of the late postoperative period of 160 women of different ages after surgical treatment of grade II–III rectocele. The complex of therapeutic measures included different combinations of general magnetic therapy, electromyostimulation with biofeedback of the pelvic floor muscles, procedures of intravaginal fractional microablative CO2 laser therapy, and a special complex of therapeutic exercise. The analysis of the study results has established that with the complex application of general magnetic therapy, fractional microablative CO2 laser therapy, electromyostimulation with biofeedback of the pelvic floor muscles, and a special complex of therapeutic exercise in patients after surgery for rectocele, one of the leading impacts is the trophic stimulating effect; in patients of peri- and menopausal age this seems to be more important against the background of age-related hypoestrogenism, and atrophy, accordingly, therefore the formation of a mature postoperative scar is extremely unlikely.