The Experience of the Use of Synthetic Prostheses for Treatment of Severe Genital Prolapse in Elderly Females

Mgeliashvili, M. V.; Буянова, С. Н.; Марченко, Тимофей Борисович; Rizhinashvili, I. D.

doi:10.18786/2072-0505-2015-37-118-122

Cited by 2 publications

(3 citation statements)

References 10 publications

(10 reference statements)

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“…Over the past decades, a large number of scientific and practical studies have appeared on the methods of POP surgical treatment and their results [9][10][11] . Most often, POP is manifested by a disorder of defecation, and often urination.…”

Section: Discussionmentioning

confidence: 99%

“…Until recently, there were no uniform tactics for the treatment of this pathology, especially in cases where there is ptosis (prolapse) of more than one organ. 10,11 In such cases, the classical methods of their correction are ineffective, often accompanied by recurrence. Good anatomical and functional results were shown by the use of mesh prostheses in those patients for more reliable apical support of the pelvic organs, which prevents the recurrence of prolapse.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] The frequency of surgical interventions for pelvic organ ptosis varies greatly and, according to different authors, ranges from 6 to 18% among patients with pelvic organ ptosis and 1.5-1.8% among the general population of women. 10 The problem of POP is now documented and also accepted as a multidisciplinary one 11 ; therefore, surgeons in a related field have formed new sections of practical surgery, namely urogynecology and urocoloproctology. 11 Many patients seek surgical help already in the late 3-4 stages according to the Pelvic Or gan Prolapse Quantification (POP Q) classification.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Ventral Mesh Fixation in Patients with Pelvic Organ Prolapse

Imanova¹,

Zeynalov²,

Akyol³

2022

mkb

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Pelvic organ prolapse (POP) is a condition with a high incidence rate and often creates difficulties in surgical coloproctology and gynecology. The aim of this study was to evaluate the effectiveness of laparoscopic ventral reticular sacrocolporectopexy and sacrorectopexi in women and men with POP, respectively. This study was conducted at the Educational-Surgical Clinic of Azerbaijan Medical University and Department of Surgery of the Faculty of Medicine of Ankara University (2016-2019) on 21 patients with POP (15 women and 6 men). Results of diagnostics and surgical treatment of POP were studied with preferences towards endoscopic, radiation, and functional methods. The surgical methods used in these patients included laparoscopic fixation methods (sacrocolpopexy, sacrocolporectopexy) of protruding organs (uterus, vaginal vault/vaginal cuff, rectum) and simultaneous vaginal (colporrhaphy, colpolevatoroplasty, vaginal plastic surgery) and proctological surgeries (circulatory resection, hemorrhoidectomy, sphincteroplasty). The findings demonstrated that the most progressive POP mostly occurred in women of premenopausal age and during menopause. Based on the results of the long-term evaluation of the surgical treatment (6-12 months), the rates of recurrence of prolapse and complications were low (up to 4.8% and 9.5%, respectively) with favorable long-term functional results, such as a decrease in the degree of fecal incontinence and constipation, observed in the evaluation. Due to the concomitant weakness of the ligamentous apparatus of the pelvic floor in these patients, there is the need for intra-abdominal apical support of organs. In conclusion, that laparoscopic sacrocolpopexy in women and sacrorectopexy in men are reliable surgical method to treat POP. However, specific skills need to be acquired by both gynecologist and coloproctologist to be able to do these laparoscopic surgery techniques.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Ventral Mesh Fixation in Patients with Pelvic Organ Prolapse

Imanova¹,

Zeynalov²,

Akyol³

2022

mkb

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Genital prolapse

Buyanova¹,

Shchukina²,

Zubova³

et al. 2017

Ross. vestn. akush.-ginekol.

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Настоящая статья представляет собой обзор современной литературы, в котором отражены вопросы этиологии, диагностики, лечения и профилактики опущения и выпадения внутренних половых органов, а также наиболее частые осложнения хирургического лечения. Знание вопросов диагностики, лечения и профилактики пролапса гениталий чрезвычайно важно для практикующего врача ввиду большой распространенности этого заболевания. Еще в 2006 г. пролапс гениталий назвали скрытой эпидемией. Ежегодно только в нашей стране производится более 50 тыс. операций в связи с опущением и выпадением внутренних половых органов, 30% из которых связаны с рецидивом заболевания. Пролапс гениталий является мультифакторным заболеванием, что обусловливает необходимость обоснованного выбора стандартизированного метода лечения, с одной стороны, и индивидуального метода хирургической коррекции, с другой стороны, для каждой пациентки. Только комплексный подход позволит улучшить результаты хирургического лечения больных с пролапсом гениталий, снизить частоту рецидивов данного заболевания и риск ближайших и отдаленных неблагоприятных результатов хирургического вмешательства. Авторы информируют об отсутствии конфликта интересов. Ключевые слова: опущение и выпадение внутренних половых органов, цистоцеле, ректоцеле.

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The Experience of the Use of Synthetic Prostheses for Treatment of Severe Genital Prolapse in Elderly Females

Cited by 2 publications

References 10 publications

Laparoscopic Ventral Mesh Fixation in Patients with Pelvic Organ Prolapse

Laparoscopic Ventral Mesh Fixation in Patients with Pelvic Organ Prolapse

Genital prolapse

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