Prosthetic Repair of the Abdominal Wall Using Light and Ultra-Light Synthetic and Titan-Containing Materials in High Bacterial Contamination (Experimental Study)

Паршиков, В. В.; Mironov, A. A.; Anikina, E. A.; Zaslavskaya, M. I.; Alyokhin, A.I.; Kazantsev, A. B.

doi:10.17691/stm2015.7.4.08

Cited by 8 publications

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“…The observation time was 8 to 10 months.During this periodneither recurrence of the diseaseno complications was observed. Evaluation of the results was based on complaints, clinical and diagnostic data (ultrasound ofperineum, MRI with functional tests) [5][6][7][8][9][10][11]. This study demonstrated the perspectiveof using titanium implants, due to the presence of a number of advantages over polypropylene.…”

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confidence: 99%

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2018

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Genital prolapse is a disease manifested by the displacement of the uterus and the vaginal walls to the genital slit and/or by going beyond it. At the basis of this pathology lies the dysfunctionalityof the ligament apparatus of the internal genital organs and the muscles of the pelvic floor. The causes of this pathology include physical, genetic, age, hormonal factors. Pelvic prolapse is a very urgent problem, due to the high incidence in bothpatientof thereproductive age and postmenopausal women, as well as the projected increase in morbidity in countries with excessive fertility and in countries with a high life expectancy. The most preferred method of treatment is surgical correction, based on neofasciogenesis with the use of gridimplants. In this study, 37 operations were performed using a titanium implant, wherethe patients were divided into three groups [1][2][3][4]. The patients of the first group underwent a modification of the Manchester operation with fixation of the uterus through the membrane of the obturator opening with use titanium implant. Patients of the second group underwent a colposuspension using a titanium implant when was been performing vaginal extirpation of the uterus. In the third group of patientswas performed the correction of cystocele with using trapezoidal titanium implants. The observation time was 8 to 10 months.During this periodneither recurrence of the diseaseno complications was observed. Evaluation of the results was based on complaints, clinical and diagnostic data (ultrasound ofperineum, MRI with functional tests) [5][6][7][8][9][10][11]. This study demonstrated the perspectiveof using titanium implants, due to the presence of a number of advantages over polypropylene.

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confidence: 99%

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2018

JGWH

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Surgical correction of prolapse of anterior wall of the vagina and cervix using titanium mesh implants

et al. 2020

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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 IIIV degree colpoptosis anterior combined with IIIII 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 321 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 1821 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.

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