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EV172/#203  Early rehabilitation of patients with endometrial cancer
  1. Viktoriya Zhavoronkova1 and
  2. Tatiana Grushina2
  1. 1Volgograd Regional Oncology Dispensary, Gynecology, Volgograd, Russian Federation
  2. 2State Autonomous Healthcare Institution ‘Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Moscow Health Department’, Moscow, Russian Federation

Abstract

Introduction The formation of early rehabilitation programs allows to optimize the results of surgical treatment of patients with uterine cancer

Methods The study included 373 patients (aged 30-65 years) with a diagnosis of stage I-II UC, histologically predominantly endometrial adenocarcinoma (83.5%). In most of the patients (83.4%) the operation was performed using endoscopic access. All patients were devided into 4 groups depending on the early rehabilitation program, the basis of which was the basic part (diet therapy, psychological support, physical therapy, antibiotic prophylaxis and prevention of thromboembolic complications), formed taking into account standard protocols for accelerated recovery (fast-track). Patients of the 1st (main) group (n=166) additionally received physical therapy methods: electrical stimulation of the bladder and local magnetic therapy. Patients in group 2 (n=91) received electrical stimulation of the bladder, group 3 (n=87) received local magnetic therapy, and group 4 (n=29) received only basic treatment

Results In the main group, a maximum frequency of 5-6 grade pain syndrome was noted (56.2%), the minimum proportion of profuse and prolonged lymphorrhea is 32.26%, without clinically significant lymphocysts, purulent-septic complications were recorded in only 3 patients of group 1 (1.8) in comparison with the control group - 6.8%, urinary incontinence in group 1 was noted in 30.6% (in the control group in 44.2%)

Conclusion/Implications The inclusion of preformed physical factors in traditional protocols for accelerated recovery makes it possible to achieve better immediate results of surgical treatment of uterine cancer.

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