Surgical creation of a neovagina using the sigmoid was one of the main techniques used in patients with Mayer-Rokinatsky-Küster-Hauser syndrome. Nowadays, this surgery is not common as a result of the high frequency of complications and adverse outcomes, one of which is sigmoid neovagina prolapse. There are no standards of treatment because of the rarity of these clinical events; therefore, any medical case is important. We present a case report of a 72-year-old patient with prolapse of the sigmoid stump. Perscrutation of this example allows us to conclude that laparoscopic sacrocolpopexy is the optimal operation for patients with apical prolapse and a history of sigmoidal colpopoiesis owing to its high level of safety and excellent outcomes.

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In article presented results of antiadhesion barrier INTERCOAT™ application after reconstructive surgery in patients with pelvic adhesions related infertility and reproductive outcome

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Эндометриоз является самым распространен-ным доброкачественным хроническим гинекологи-ческим заболеванием. Известно, что эндометриоз поражает около 10% женщин репродуктивного воз-раста и до 50% женщин, страдающих бесплодием [1]. Влияние эндометриоза на репродуктивную функ-цию женщин остается противоречивым с нескольки-ми предложенными механизмами, оказывающими негативное влияние на репродукцию [2]. Описаны две наиболее точные гипотезы, объясняющие эндо-e-mail: gyn_endoscopy@mail.ru метриозассоциированное бесплодие. Это прогресси-рующее интраперитонеальное воспаление и, как следствие, нарушение анатомических соотношений с формированием массивных спаек в малом тазу [3]. Другая гипотеза -снижение качества ооцитов, на-рушение маточно-трубного транспорта [4,5]. Основ-ной подход к лечению эндометриозассоциирован-ного бесплодия складывается из хирургического эта-па, гормонального лечения и экстракорпорального оплодотворения (ЭКО) или их комбинации [6]. Objective -to evaluate the feasibility of dienogest using after surgical excision of endometriotic focuses by counting the total number of coming pregnancies among the women with endometriosis-associated infertility. Material and methods. This retrospective study included 48 women with surgically confirmed endometriosis. Patients were divided into subgroups: the first group included 18 women with superficialis endometriosis, the second group consited of 23 women with endometriotic cysts, the third group had 7 women with deep infiltrating endometriosis. all patients were given dienogest 2 mg per day postoperatively within 6 months. Results. 31 (64,6%) patients became pregnant and 20 (41,7%) women achieved pregnancies by natural conception, in 5 (10,4%) cases pregnancy was obtained after IvF Conclusions. The combined approach (laparoscopy + dienogest) forendometrios-associated infertility treatment is effective among the patients with different stages of endometriosis (from superficial to infiltrative). Thus, 64.6% of women included in the study became pregnant after the treatment and 40% of women were delivered during the study period.

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