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Neurological disorders after hysterectomy: from pathogenesis to clinical manifestations


Hysterectomy currently occupies one of the leading places among obstetric and gynecological surgeries and is one of the highly effective and sometimes the only method of treating various diseases of the female genital organs.  Quite often, however, hysterectomy results not only in the elimination of the cause of disease, but also in the development of complications that reduce the quality of life of patients. More and more attention is being paid to neurological complications, which is obviously due to improved diagnostic capabilities, as well as the results of recent research on the pathogenesis and treatment of neurological disorders. Only recently the scientists have begun to think about the true causes  of one of the most important neurologic complications of hysterectomy, namely chronic postoperative pain.

The review describes in detail the main neurological disorders that develop after hysterectomy: chronic postoperative pain, traumatic neuroma, residual ovarian syndrome  as possible causes of chronic pain, mononeuropathies, sexual and sleep disorders, decreased cognitive and motor functions, lower  urinary tract and bowel dysfunction.  Considerable  attention is given to the mechanisms of neurological complications and the relationship between the surgery and emotional disturbances in women.

About the Authors

A. G. Solopova
Sechenov University
Russian Federation

Antonina G. Solopova – Dr. Med. Sc., Professor, Chair of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.

2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991.

Scopus   Author ID: 6505479504

WoS Researcher ID: Q-1385-2015

RSCI SPIN-code: 5278-0465

D. V. Blinov
Institute for Preventive and Social Medicine; Lapino Clinical Hospital, Medical Group “Mother and Child”
Russian Federation

Dmitry V. Blinov – MD, PhD, MBA, Head of Medical and Scientific Affairs, Institute for Preventive and Social Medicine; Neurologist, Lapino Clinic Hospital, MG “Mother and Child”.

4/10 Sadovaya-Triumfalnaya Str., Moscow 127006; 111 Pervoye Uspenskoye Hwy, Moscow  Region, Odintsovo District, Lapino 143081.

WoS ResearcherID: E-8906-2017

Scopus Author ID: 6701744871

RSCI SPIN-code: 9779-8290

E. Begovich
Sechenov University
Russian Federation

Evana Begovich – Postgraduate,  Chair of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.

2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991.

L. N. Sandzhieva
Sechenov University
Russian Federation

Lidiya N Sandzhieva – Postgraduate,  Chair of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University.

2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991.

RSCI SPIN-code: 7228-3726

S. V. Demyanov
Sechenov University
Russian Federation

Semen V. Demyanov – 5th Year Student, Sechenov  University.

2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991.

G. V. Demyanov
Sechenov University
Russian Federation

Gleb V. Demyanov – 5th Year Student, Sechenov  University.

2 bldg 4 Bolshaya Pirogovskaya Str., Moscow 119991.


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For citations:

Solopova A.G., Blinov D.V., Begovich E., Sandzhieva L.N., Demyanov S.V., Demyanov G.V. Neurological disorders after hysterectomy: from pathogenesis to clinical manifestations. Epilepsy and paroxysmal conditions. 2022;14(1):54-64. (In Russ.)

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ISSN 2077-8333 (Print)
ISSN 2311-4088 (Online)