The experience of synthetic materials application in pelvic surgery

Vitaly F. Bezhenar; Беженарь Виталий Фёдорович; R. D. Ivanova; Иванова Р. Д.; L. K. Tsculadze; Цуладзе Л. К.; Е. I. Rusina; Русина Е. И.; G. V. Blagodarnij; Благодарный Г. В.

doi:10.17816/JOWD87440

The experience of synthetic materials application in pelvic surgery

Authors: Bezhenar V.F.¹^,2, Ivanova R.D.², Tsculadze L.K.², Rusina Е.I.², Blagodarnij G.V.²
Affiliations:
1. The D.O.Ott Research Institution of Obstetrics and Gynecology RAMS'
2. Medical-Military Academy
Issue: Vol 54, No 5S (2005)
Pages: 61-61
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87440
DOI: https://doi.org/10.17816/JOWD87440
ID: 87440

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Abstract

Introduction. The inconsistency of pelvic muscles is one of actual gynecological problems today, resulting in significant amount of pathological processes and decreasing a quality of life. Now most effective method in treatment of pelvic prolaps is surgical treatment with use of prolen implants.

Keywords

the use of synthetic materials, pelvic floor surgery, surgical gynecology, operative gynecology, pelvic prolapse, alloimplants

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The purpose of our research was an estimation of efficiency of surgical treatment with use prolen implants.

Material and methods. Research group included the women with the various forms of pelvic incontinency. All patients have been carried out surgical treatment in volume of colpotomia with Gynemesh plastics, back colpoperineolevatoroplastics. Under the indications sacrovaginopexy was carried out. We used prolen implant Gynemesh-soft (Ethicon). The efficiency of results of surgical treatment was estimated in view of subjective and objective criteria, anatomic parameters, and also the quality of patients life was estimated at dynamic supervision within 1 year.

Results of research. We mark high efficiency of surgical treatment of pelvic prolaps with using of prolen implants. The average age of the women was 51 ± 5 years. At 50% of patients there were revealed the lowering of anterior vaginal wall of 2nd degree and cystocele, in one case the lowering of vaginal walls of 3d degree was observed. Using prolen implants the complete restoration of anatomical and functional solvency was marked. At dynamic supervision of patients within 1 year we did not observe complications. Relapses of disease also were not marked. All patients marked thenb satisfaction of result and improvement of life quality.

Conclusions. The surgical correction of pelvic muscles inconsistency with use of prolen implants is the most effective method of treatment and does not result in decrease of life quality.