Methods for Mesh Implantation Efficacy Assessment in Rectocele

Lukianov, A. S.; Titov, A. Yu.; Biryukov, O. M.; Мудров, А. А.; Костарев, И. В.

doi:10.22416/1382-4376-2021-31-3-17-25

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

2021

DOI: 10.22416/1382-4376-2021-31-3-17-25

|View full text |Cite

Methods for Mesh Implantation Efficacy Assessment in Rectocele

A. S. Lukianov

A. Yu. Titov

O. M. Biryukov

et al.

Abstract: Aim. A methodological review on mesh implantation efficacy assessment in surgery for rectocele.Key points. Specialised quiz surveys are among the most appropriate methods to assess surgical intervention efficacy. The questionnaires that enable pre- and postsurgery rectocele grading include PFDI-20 (Pelvic Floor Distress Inventory), the colonic evacuation disorder scale and Cleveland Constipation Scoring System. These surveys determine the surgical intervention efficacy dynamically in conjunction with instrumen… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 9 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Osteopathic correction in the complex treatment of women of reproductive age with pelvic organ prolapse

Bakanova,

Lebedev,

Nenashkina

2024

Rossijskij osteopaticheskij zhurnal

View full text Add to dashboard Cite

Introduction. Pelvic organ prolapse is a major medical and social problem. Up to 53 % of women note certain manifestations of prolapse, almost half of them are women of working age. There are still many unresolved issues in the treatment of pelvic organ prolapse and prolapse. Conservative therapy for pelvic organ prolapses is poorly effective. The only clinically proven way to combat the disease, widely used in world medical practice, is surgical treatment. However, the possibilities of surgical correction of genital prolapse are limited by the high frequency of relapses, which occur in 36 % of operated women, as well as complications when using mesh prostheses (17–31 %). Therefore, exploring nonsurgical treatments aimed at preventing disease progression is a critical challenge for clinicians.The aim was to study the effect of osteopathic correction, used in the complex treatment of pelvic organ prolapse, on the course of this disease.Materials and methods. The study included 36 women aged 25 to 45 years with the first stage of genital prolapse. All patients underwent standardized osteopathic diagnostics with the formation of a unified osteopathic conclusion at the beginning and at the end of the study. The subjects of the main group, as part of complextreatment, received osteopathic correction in the number of 3 sessions with an interval of 2–3 weeks; patients in the control group who performed physical therapy exercises (PT) were dynamically monitored.Results. In patients with genital prolapse, somatic dysfunctions are most often diagnosed at the global (psychoviscerosomatic disorder) and regional levels (pelvic, lumbar and thoracic regions), which are dominant. The inclusion of osteopathic correction in the complex treatment of genital prolapse in women is significantly more significant than the isolated performance of physical therapy exercises and helps to reduce the frequency of detection of somatic dysfunctions at the global and regional level (p>0,05), and is also significantly more significant (p>0,05) promotes: reducing the severity of genital prolapse, reducing the severity of urogenital symptoms, improving the quality of life of patients.Conclusion. As part of the complex treatment of patients with genital prolapse, osteopathic correction in combination with physical therapy exercises helps to reduce the degree of pelvic organ prolapse, reduce the severity of urogenital symptoms and improve the quality of life of women.

show abstract

Osteopathic correction in the complex treatment of women of reproductive age with pelvic organ prolapse

Bakanova,

Lebedev,

Nenashkina

2024

Rossijskij osteopaticheskij zhurnal

View full text Add to dashboard Cite

show abstract

Long-term results of rectocele surgical treatment by rectovaginal septum repair with a W-shaped mesh implant

Lukyanov,

Kostarev,

Frolov

et al. 2024

Surgeon

View full text Add to dashboard Cite

40 patients with grade 2 and 3 rectocele were included in the study. The long-term results of surgical treatment within a timeframe of 12–42 months after surgery were evaluated in 34 (85 %) patients. The average duration of the disease history amounted to 5 (0.7–19) years. The mean age of the patients was 53.1±10.3 (Me=54.5) years. Before the surgery, as well as 6 and 12 months after the surgery, all patients underwent radiological defecography and were interviewed by means of specialized questionnaires to determine the disorders of the evacuation function of the colon and comprehensively assess the symptomatology of pelvic organ prolapse. Late postoperative complications were revealed in 2 out of 35 (5.7 %) patients 6 months after the surgical intervention. Twelve months after surgery and over, 31 out of 34 (91 %) patients had good or satisfactory outcomes characterized by a significant decrease in the manifestations of obstructed defecation syndrome, confirmed by the results of defecography, which showed an improvement in all criteria of the rectal evacuation function evaluation. These data objectively confirm the effectiveness of this method of treatment. The comparative analysis of the results of the patient survey by means of specialized questionnaires demonstrated a statistically significant difference between the level of scores before the intervention and 12 months after rectovaginal septum repair with W-shaped mesh implant. In conclusion, the method of rectovaginal septum repair with W-shaped mesh implant demonstrated its high efficiency, including the evaluation in the long-term follow-up period.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Methods for Mesh Implantation Efficacy Assessment in Rectocele

Cited by 2 publications

References 9 publications

Osteopathic correction in the complex treatment of women of reproductive age with pelvic organ prolapse

Osteopathic correction in the complex treatment of women of reproductive age with pelvic organ prolapse

Long-term results of rectocele surgical treatment by rectovaginal septum repair with a W-shaped mesh implant

Contact Info

Product

Resources

About