Endoscopic lateral fixation using a T-shaped mesh implant is an effective way of correcting apical genital prolapse


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详细

Objective. To determine the effectiveness of endoscopic lateral f ixation using a mesh implant as an alternative method for correcting apical prolapse. Subjects and methods. During the prospective study, the results of treatment were analyzed in 25 patients with apical prolapse, who underwent laparoscopic fixation of the cervix uteri, its stump or vaginal vault, by using a T-shaped polypropylene implant (Prof. J.B. Dubuisson). Results. The duration of surgery averaged 85 minutes. Intraoperative blood loss averaged 100 ml. There was a significant postoperative improvement in 20 of the 25 patients. Conclusion. Laparoscopic lateral fixation using a T-shaped mesh implant to correct apical genital prolapse is an effective, technically feasible, and safe alternative to sacropexy and its performance requires no expert proficiency level in endoscopic surgery.

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作者简介

Dmitry Aryutin

Peoples’ Friendship University of Russia; N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department

Email: aryutin@mail.ru
Candidate of Medicine, Assistant of the Department of obstetrics and gynecology with course Perinatology; head of the gynecological department

Evgeny Vaganov

N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department

Email: vaganov83@mail.ru
Candidate of Medicine, obstetrician-gynecologist

Alexandra Belousova

N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department

Email: flremouse@mail.ru
obstetrician-gynecologist

Lily Toktar

Peoples’ Friendship University of Russia

Assistant Professor of obstetrics and gynecology with course of Perinatology

Konstantin Toniyan

Clinical hospital № 1, Administrative Department of the President of the Russian Federation

Email: ktoniyan@mail.ru
head of the gynecological Department

Mekan Orazov

Peoples’ Friendship University of Russia

Email: omekan@mail.ru
Doctor of Medicine, Assistant Professor of obstetrics and gynecology with course of Perinatology

Armen Dukhin

Peoples’ Friendship University of Russia; Central clinical hospital № 6 “RZD”

Doctor of Medicine, Professor, Department of obstetrics and gynecology with course of Perinatology; head of the gynecological Department

参考

  1. Cooper J., Annappa М., Dracocardos D., Cooper W., Muller S., Mallen C. Prevalence of genital prolapse symptoms in primary care: a cross-sectional survey. Int. Urogynecol. J. 2015; 26(4): 505-10.
  2. Радзинский В.E., Майскова И.Ю., Димитрова В.И., Семятов С.М., Кучиева З.Р. Дифференцированный подход к хирургической коррекции пролапса гениталий у женщин старше 60 лет. Акушерство и гинекология. 2012; 4-2: 73-7.
  3. Rappa C., Saccone G. Recurrence of vaginal prolapse after total vaginal hysterectomy with concurrent vaginal uterosacral ligament suspension: comparison between normal-weight and overweight women. Am. J. Obstet. Gynecol. 2016; 215(5): 601. e1-601. e4.
  4. 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): CD004014.
  5. Гаспаров А.С., Бабичева И.А., Дубинская Е.Д., Лаптева Н.В., Дорфман М.Ф. Хирургическое лечение пролапса тазовых органов. Казанский медицинский журнал. 2014; 95(3): 341-7.
  6. Schär G. Reconstructive surgery of female pelvic floor prolapse. Ther. Umsch. 2010; 67(1): 31-7.
  7. Dubuisson J., Veit-Rubin N., Bouquet de Jolinière J., Dubuisson J.B. Laparoscopic lateral suspension: benefits of a cross-shaped mesh to treat difficult vaginal vault prolapse. J. Minim. Invasive Gynecol. 2016; 23(5): 672.
  8. Wattiez A., Canis M., Mage G., Pouly J.L., Bruhat M.A. Promontofixation for the treatment of prolapse. Urol. Clin. North Am. 2001; 28(1): 151-7.
  9. Глыбочко П.В., Леваков С.А., Крапивин А.А., Ванке Н.С. Опыт применения метода экстраперитонеальной кольпопексии с использованием синтетических имплантов при коррекции генитального пролапса. Гинекология. 2014; 16(5): 14-7.
  10. Ji'rovd J., Pan M. Current state of transvaginal meshes by resolution of pelvic organ prolapse. Ceska Gynekol. 2017 Winter; 82(1): 72-8.
  11. Kozal S., Ripert T., Bayoud Y., Menard J., Nicolacopoulos I., Bednarzyck L. et al. Morbidity and functional mid-term outcomes using Prolift pelvic floor repair systems. Can. Urol. Assoc. J. 2014; 8(9-10): E605-9.
  12. Miklos J.R., Chinthakanan O., Moore R.D., Karp D.R., Nogueiras G.M., Davil a G. W. Indications and complications associated with the removal of 506 pieces of vaginal mesh used in pelvic floor reconstruction: a multicenter study. Surg. Technol. Int. 2016; XXIX: 185-9.
  13. Vandendriessche D., Sussfeld J., Giraudet G., Lucot J.P., Behai H., Cosson M. Complications and reoperations after laparoscopic sacrocolpopexy with a mean follow-up of 4 years. Int. Urogynecol. J. 2017; 28(2): 231-9.
  14. Galczynski K., Nowakowski L., Romanek-Piva K., Rechberger T. Laparoscopic mesh procedures for the treatment of pelvic lorgan prolapse--review of the literature. Ginekol. Pol. 2014; 85(12): 950-4.
  15. Dawson M.L., Rebecca R., Shah N.M., Whitmore K.E. A novel approach to mesh revision after sacrocolpopexy. Rev. Urol. 2016; 18(3): 174-7.
  16. Dubuisson J.B., Eperon I., Jacob S., Dubuisson J., Wenger J.M., Dallenbach P., Kaelin-Gambirasio I. Laparoscopic repair of pelvic organ prolapse by lateral suspension with mesh: a continuous series of 218 patients. Gynecol. Obstet. Fertil. 2011; 39(3): 127-31.
  17. Dubuisson J., Eperon I., Dällenbach P., Dubuisson J.B. Laparoscopic repair of vaginal vault prolapse by lateral suspension with mesh. Arch. Gynecol. Obstet. 2013; 287(2): 307-12.

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