Surgical correction of prolapse of anterior wall of the vagina and cervix using titanium mesh implants
- 作者: Ishchenko A.I.1, Aleksandrov L.S.1, Ishchenko A.A.1, Kazantsev A.A.2, Khokhlova I.D.1, Dzhibladze T.A.1, Gorbenko O.Y.1, Chuschkov Y.V.1, Zuev V.M.1, Manevskaya Y.B.3, Uschkova A.D.1
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隶属关系:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Central Clinical Hospital of the Russian Academy of Sciences
- Treatment and rehabilitation center
- 期: 卷 75, 编号 1 (2020)
- 页面: 18-26
- 栏目: OBSTETRICS AND GYNAECOLOGY: CURRENT ISSUES
- URL: https://ogarev-online.ru/vramn/article/view/125743
- DOI: https://doi.org/10.15690/vramn1123
- ID: 125743
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Background: Regardless of a variety of surgical techniques and hi-tech materials for pelvic prolapse treatment, there is no decrease in the disease recurrences.
Aims: Evaluation of the efficacy of the developed method of surgical correction of II–IV degree colpoptosis anterior combined with II–III degree “C”-prolapse with the use of titanium mesh implants in reproductive, pre- and postmenopausal female patients.
Methods: Female patients (group I, n = 25) with colpoptosis anterior and cervical prolapse were examined and operated on according to the developed know-how technique with the use of titanium mesh implants. Evaluation of the efficacy of surgical correction of the disease was performed using questioning, pelvic exam with Valsalva manoeuvre, transvaginal and transperineal ultrasound, pelvis MRI. The findings were compared with the result of surgical treatment of 46 (group II) and 32 (group III) female patients operated on without the use of titanium implants. After surgical treatment according to the three-stage surgical program that provides for multifocal fixation of anatomical formations with the use of titanium implants, the case follow-up was performed in 3−21 months.
Results: Questioning the patients in group I demonstrated their satisfaction with the surgical treatment results that positively affected the quality of life, mood, and contributed to an increase in sexual activity and community commitment. Check-up showed that the surgical correction of prolapse was completely preserved in the patients of group I during 18−21 months. Pelvic exam at rest and with Valsalva manoeuvre, transvaginal and transperineal ultrasound, pelvis MRI did not reveal any significant extrusion of the pelvic organs or titanium implants. No mesh-associated complications were observed during the follow-up. Recurrence of genital prolapse was diagnosed in 12 (26%) patients of group II, mesh-associated complications were detected in 6 (18.8%) women of group III.
Conclusions: The preserving three-stage surgical program, developed by us, contributed to optimize the results of surgical treatment, decrease the rate of the disease recurrence, and reduce the risk of the development of mesh-associated complications.
作者简介
Anatoly Ishchenko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: 7205502@mail.ru
ORCID iD: 0000-0001-5733-953X
SPIN 代码: 3294-3251
MD, PhD, Professor
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Leonid Aleksandrov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: aleksandrov.leonid@lenta.ru
ORCID iD: 0000-0002-7601-3532
SPIN 代码: 2738-9662
MD, PhD, Professor
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Anton Ishchenko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: ra2001_2001@mail.ru
ORCID iD: 0000-0002-4476-4972
SPIN 代码: 2306-4571
PhD
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Anton Kazantsev
Central Clinical Hospital of the Russian Academy of Sciences
Email: kaa7171@mail.ru
ORCID iD: 0000-0001-7922-2033
SPIN 代码: 3674-2553
俄罗斯联邦, 1A, Litovskiy blvrd., Moscow, 117593
Irina Khokhlova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: irhohlova5@gmail.com
ORCID iD: 0000-0001-8547-6750
SPIN 代码: 6858-5235
PhD
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Tea Dzhibladze
I.M. Sechenov First Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: djiba@bk.ru
ORCID iD: 0000-0003-1540-5628
SPIN 代码: 5688-1084
MD, PhD, Professor
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Oksana Gorbenko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: go2601@mail.ru
ORCID iD: 0000-0002-3435-4590
SPIN 代码: 8725-1419
PhD
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Yuriy Chuschkov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: obstetrics-gynecology@list.ru
SPIN 代码: 6066-9279
PhD
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Vladimir Zuev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: vlzuev@bk.ru
ORCID iD: 0000-0001-8715-2020
SPIN 代码: 8725-1419
MD, PhD, Professor
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992Yuliya Manevskaya
Treatment and rehabilitation center
Email: manevskaia@gmail.com
ORCID iD: 0000-0002-1799-2777
SPIN 代码: 1033-6160
俄罗斯联邦, Moscow
Anastasiya Uschkova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: ushkova669@yandex.ru
SPIN 代码: 3908-0297
俄罗斯联邦, 8-2, Trubetskaya street, Moscow, 119992
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