Gyne mesh soft in surgical treatment of rectocele

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Abstract

The purpose of this message is to present the results of the use of a synthetic prosthesis for plastic surgery of the posterior vaginal wall during its descent with the formation of rectocele and to inform about a new modification of the plastic surgery of the posterior vaginal wall with the Gynemesh soft prolene mesh.

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Material and methods. IVS posterior plastics of rectocele was carried out since 2002 year among 42 patients in the age of 42-69 with recurrence of rectocele. All the patients had vaginal or abdominal hysterectomy with different methods of vaginopexy, colpoperineolevatoroplastics. Recurrence of rectocele developed during the 6-24 months and was accompanied by sexual discomfort, disturbances of defecation.

Method of IVS posterior plastics of rectocele was combined with plastics of defect of the peritoneal- perineum aponeurosis. We applied prolene Mash in the form of T-shot. The basis of the prosthesis applied to the defect and its loose ends took out on the skin of the perianal area behind the m. levator ani, with the assistance of IVS-tunneller.

Results. We have the long-term results of the technique (18 mounts). There were no sexual discomfort, disturbances of defecation or recurrence of prolaps. Analysis in 18 patients revealed the reliable differences of sexual status before and after surgical treatment. Thus 13 patients (75%) noted the satisfaction from sexual life. The frequency of sexual intercourse has increased in 10 patients (60%).

Summary. In spite of a small number of the patients and a short period of care there were noted the simple technique of this operation without any haemorragic or infection complications and good functional results.

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About the authors

A. A. Popov

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

Т. N. Manannikova

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

G. G. Shaginyan

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

О. V. Machanskite

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation,

Email: info@eco-vector.com
Russian Federation, Moscow

М. R. Ramazanov

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

О. G. Kirushkina

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

N. A. Chausova

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health and Social Development of the Russian Federation

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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от 15.07.2002 г.



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