Хирургические методики предотвращения и коррекции невынашивания беременности

The aim is to improve reproductive outcomes in women with a history of habitual miscarriage, functional failure of the cervix stump or lower uterine segment after surgical interventions. Materials and methods. Since 2011, in the department of endoscopic surgery of MONIIAG, the cortex of the uterus has been performed, 76 patients have undergone surgery. To establish a reticular prosthesis, we used various operative approaches: transabdominal (laparotomy, laparoscopy, robotic assisted laparoscopy) or transvaginal. Of these, 16 had previously undergone a radical abdominal or vaginal trachelectomy, 37 patients had a high amputation and / or conization of the cervix and 23 patients with an ineffective correction of history of cystic insufficiency in the anamnesis. Results. We obtained the following reproductive results: 2 patients after trachelectomy were delivered operatively at 31–33 weeks of gestation. In the group of patients after amputation and / or conization of the cervix, 5 patients with an average gestation period of 37.4 weeks were delivered. Also 2 patients, now, are pregnant. Conclusion. Based on the results obtained by us, the operation of the cervical uterus is an important and necessary stage of pregravid preparation of patients who underwent surgical interventions on the cervix, as well as with ineffective correction of the ICS by sutures during pregnancy.