The use and clinical effects of low-frequency ultrasound cavitation in obstetrics and gynecology

Objective. To make a systematic analysis of the data available in the present-day literature on how to enhance the efficiency of treatment for small pelvic inflammatory diseases (SPID) and their sequels in women via tissue irrigation with medical solutions treated with low-frequency ultrasound (cavitation) (LFUSC), by using a Russian Fotek AK101 device. Material and methods. The review included the data of open-access Russian articles published in the past 5 years on this theme. Results. LFUSC treatment versus traditional one for nonspecific inflammatory diseases of the lower genital tract in women could achieve recovery for a few days faster and reduce recurrence rates by 10 times. Comprehensive preparation involving LFUSC in patients for surgery (vacuum aspiration, surgical treatment for genital prolapse or pessary placement in isthmicocervical insufficiency) caused a reduction in the frequency of infectious complications. The technique demonstrated a considerable effect in preventing and treating chronic endometritis (CE). In the patients with acute postpartum endometritis, non-developing pregnancy termination, the development of CE was observed 2.5-5 times less frequently than in those who had not received this treatment. Treating CE and hypoplasia of the endometrium with cavitated chlorhexidine solution leads to its complete recovery and thickness restoration, as well as pregnancy occurrence in 35% of the patients. Conclusion. LFUSC is an effective technique to treat and prevent SPID. © Bionika Media Ltd.