Experience in surgical correction of genital prolapse caused by abdominoperineal operations for colon cancer in anamnesis

Abstract

In recent studies, it has been established that extralevator abdominoperineal extirpation (ELAPE) of the rectum can improve the oncological results of treatment of distal rectal cancer compared to standard abdominoperineal extirpation. As a result of extralevator dissection, a large defect of the perineum is formed, which requires plastic closure. While performing ELAPE, the structures that form the pelvic diaphragm are affected. This increases the risk of pelvic organ prolapse in women and significantly affects the quality of life of these patients, which requires subsequent surgical treatment. Despite the fact that pelvic organ prolapse develops as a consequence of previous surgical treatment by an oncologist, they do not consider it as a complication in the long-term postoperative period. Such patients are not referred to the operating gynecologist. Currently, this problem is poorly understood and there are no standardized approaches to the surgical treatment of pelvic prolapse in this category of patients.

Topical issues of surgical treatment of pelvic floor dysfunction. A literature review

“…Однако при невозможности гистерэктомии из-за высокого риска для пациентки, связанного с отсутствием анатомических ориентиров, высокой вероятностью ранения смежных органов, возрастом больной, а также наличием сопутствующей соматической патологии, применяют хирургическое лечение с сохранением матки [73].…”