THE POSSIBILITIES OF SURGICAL CORRECTION OF CICATRICIAL-DEFORMED CERVIX UTERI IN PREGNANT WOMEN
On the basis of Smolensk Cinical hospital №1 an assessment of the results of surgical correction of cicatricially deformed in labor cervix was carried out. Cicatricially deformed cervix was established to be an indication for cesarian section in 2 % of all cases. Also according to medical records, peculiarities of previous and present gestation course were studied. On the fourth stage of labor hysterotracheloplasty was carried out. In patients with deep lacerations of cervix to the vaginal vaults delivery was carried out by Caesarian section. If the circular fibers were preserved, the labor was performed through maternal passages. A significant risk factor of cicatricially deformed cervix was found out to be genital inflammations and intrauterine interventions. The course of the postoperative period was analyzed. In 6 months after delivery more than 94% of women with hysterotracheloplasty did not have any abnormalities. Normal anatomic and functional cervix indicators are the prophylaxis of background and pre-malignant diseases. They also contribute to the restoration of normal vaginal biocenosis and reduce the risk of miscarriage and premature delivery in subsequent pregnancies.