Ways to improve the results of the treatment of severe forms of pelvic prolapse
https://doi.org/10.17238/2072-3180-2023-1-88-94
Abstract
Objective. To develop a new technically simple video-laparoscopic method of pelvic floor plastic, which allows to reduce the time required for postoperative rehabilitation, as well as the number of postoperative complications and relapses.
Material and methods. The article presents the results of treatment of 37 patients with total forms of pelvic prolapse using a new method for the treatment of pelvic prolapse developed in the clinic.
Results. When applying the proposed method of plastic surgery of severe forms of pelvic prolapse, no serious complications were obtained in the postoperative period, no recurrence of the disease was noted during 3 years of observation, and an improvement in functional parameters and quality of life of patients was observed.
Conclusion. The method of surgical treatment of total pelvic prolapse and the algorithm for its implementation make it possible to securely fix the pelvic organs in positions approximately corresponding to normal anatomy, eliminate defects in the rectovaginal and cystovaginal septa by replacing with alloplastic material, as well as reduce the number of relapses, postoperative complications, improve the quality of life of patients, reduce the time their hospital stay and speed up rehabilitation.
Supporting agencies: the study was sponsored by state fund № 121031000362–3.
About the Authors
V. Z. Totikov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Totikov Valeriy Zelimkhanovich – Professor, doctor of medical Sciences, head of the Surgical department № 2
Puschkinskaya str., 40, Vladikavkaz, 362019
Z. V. Totikov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Totikov Zaubek Valerievich – Doctor of medical Sciences, professor at the Department of Surgery
Puschkinskaya str., 40, Vladikavkaz, 362019
U. U. Taramov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Taramov Umalat Uvaisovich – Postgraduate at the Department of Surgery № 2
Puschkinskaya str., 40, Vladikavkaz, 362019
L. L. Logvina
Kabardino-Balkarian State University
Russian Federation
Russian Federation
Logvina Larisa Leontievna – PhD, Associate Professor of the Department of Children’s Diseases, Obstetrics and Gynecology
Chernyshevskogo str.173, Nalchik, 360004
References
1. Weintraub A.Y., Glinter H., Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. IntBraz J Urol., 2020, Jan-Feb; № 46(1), рр. 5–14.
2. Totikov V.Z., Dzanaeva D.B., Totikov Z.V. Complex treatment of complicated forms of prolapse of internal genital organs and rectocele. Vladikavkaz. Operativnaya poligrafiya, 2015, 112 p. (In Russ.).
3. Kulikovsky V.F., Alenicheva M.S., Bratishcheva N.N., Abulatifa A.M. Functional and anatomical evaluation of the results of surgical treatment of pelvic prolapse. Modern Problems of Science and Education, 2018, № 3. (In Russ.). URL: https://science-education.ru/ru/article/view?id=27595
4. Wu J.M., Vaughan C.P., Goode P.S., Redden D.T., Burgio K.L., Richter H.E. et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol., 2014, № 123, рр. 141–148.
5. Lince S.L., van Kempen L.C., Vierhout M.E., Kluivers K.B. A systematic review of clinical studies on hereditary factors in pelvic organ prolapse. IntUrogynecol J., 2012, № 23, 1327–1336.
6. Belayneh T., Gebeyehu A., Adefris M., Rortveit G., Gjerde J.L., Ayele T.A. Pelvic organ prolapse surgery and health-related quality of life: a follow-up study. BMC Womens Health, 2021, Jan 2; № 21(1), рр. 4.
7. Gjerde J.L., Rortveit G., Adefris M., Belayneh T., Blystad A. Life after pelvic organ prolapse surgery: a qualitative study in Amhara region, Ethiopia. BMCWomen’sHealth. 2018;18(1):74.
8. Iglesia C.B., Smithling K.R..Pelvic Organ Prolapse. Am Fam Physician, 2017, Aug 1; № 96(3), рр. 179–185.
9. Baessler K., Christmann-Schmid C., Maher C., Haya N., Crawford T.J., Brown J. Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. Cochrane Database Syst Rev., 2018, Aug 19; № 8(8), рр. CD013108.
10. Maher C., Feiner B., Baessler K., Christmann-Schmid C., Haya N., Brown J. Surgery for women with anterior compartment prolapse. Cochrane Database Syst Rev., 2016, № 11, рр. 4014.
11. González-Enguita C., Gennaro-Della Rossa N., López-López E., Escobar-Castaño J., Rodríguez-Castro P.M., González-López R. Current status of laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse. ArchEspUrol., 2017, May; № 70(4), рр. 400–411.
Review
For citations:
Totikov V.Z., Totikov Z.V., Taramov U.U., Logvina L.L. Ways to improve the results of the treatment of severe forms of pelvic prolapse. Moscow Surgical Journal. 2023;(1):88-94. (In Russ.) https://doi.org/10.17238/2072-3180-2023-1-88-94
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