Experience in the application of vaginal polydioxanone thread in miniperineoplasty for the treatment of the vaginal wall prolapse

Aim. TTo evaluate the effectiveness of miniperineoplasty with vaginal polydioxanone thread for correcting the prolapse of the vaginal walls and prolapse of the pelvic organs in comparison with traditional perineolevatoroplasty. Material and methods. The study included 98patients aged 35 to 70 years; they were examined and operated on the basis of the Semeynaya clinic in Moscow in the period from 2016 to 2018. Patients were divided into two groups: 1st (n = 51) and 2nd (n = 47). The average age in the 1st group was 47 ± 0.35 years, and in the 2nd it was 45 ± 0.44 years. In the 1st group, minimized anterior and posterior colporrhaphia, miniperineolevatoroplasty with the vaginal polydioxanone thread were performed; while anterior and posterior colporrhaphia, perineolevatoroplasty were performed in the 2nd group. Results. When carrying out minimized anterior and posterior colporrhaphia, miniperineolevatoroplasty with the vaginal polydioxanone thread, the average volume of blood loss and the average duration of the operation are lower compared to the group of patients who underwent anterior and posterior colporrhaphia, perineolevatoroplasty. Conclusion. Minimal invasiveness, reducing the time of surgery, the volume of average blood loss and the period of disability are weighty arguments in favor of the use of vaginal polydioxanone threads.

miniperineoplasty, vaginal polydioxanone thread, vaginal wall prolapse, pelvic organ prolapse