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AIM: evaluation of the effectiveness of the enhanced recovery protocol for stoma reversal procedures.PATIENTS AND METHODS: a single-center retrospective analysis of stoma reversal surgery in 130 ostomy patients in 2012-18 was performed. From 2012 to 2015, 56 (43.1%) patients were treated before the implementation of the Enhanced Recovery After Surgery (ERAS) protocol in clinical practice, 74(56.9%) patients were treated in accordance with the principles of fast-track.RESULTS: the introduction into clinical practice of the ERAS protocol reduced postoperative complications from 8.5% to 5.4% (p=0.002) and the hospital stay from 16,3±9,4 to 11,4±4,2 days (p=0.003).CONCLUSION: the fast-track strategy is an effective way to improve the results of stoma reversal procedures.

AIM. To assess efficacy of surgical procedures with use of meshes for pelvic prolapse. PATIENTS AND METHODS. Retrospective study included 235 females aged 59.3±7.5 years which underwent surgery for pelvic prolapse in 2013-2017. Surgical reconstruction of pelvic floor was performed using several types of meshes: Pelvix («Lintex»), Urosling («Lintex»), Prolift («Gynecare»). Results were assessed clinically (POP-Q stage), by questionnaire, uroflowmetry, evaluation of QoL (PFDI-20 scale). Patients underwent control examinations 2 weeks after surgery, 3,6,12,24,36 months. RESULTS. Post-op complications were obtained in 4 (1.7%) patients and included bladder injury in 2 (0.85%) females and paravesical hematoma in 2 (0.85%). Control examinations after 2 weeks and 1 month were done in 235 (100.0%) patients, after 12 months - in 140 (59.6%), after 24 months - in 98 (41.7%), after 36 - in 58 (24.6%). Recurrence was detected in 11 (4.7%)patients. Eight (3.4%) produced stress urinary incontinence 1 year after surgery. QoL improved significantly from 159.2 to 28.7 points (p