The experience of genital prolapse treatment and urine incontinence using synthetic materials
- 作者: Krasnopolskiy V.I.1, Buyanova S.N.1, Petrova V.D.1, Muravyeva Т.G.1, Evsyukova L.V.1, Putilovskiy М.А.1
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隶属关系:
- Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
- 期: 卷 54, 编号 5S (2005)
- 页面: 68-69
- 栏目: Reviews
- ##submission.dateSubmitted##: 15.11.2005
- ##submission.dateAccepted##: 10.11.2021
- ##submission.datePublished##: 15.11.2005
- URL: https://journals.eco-vector.com/jowd/article/view/87480
- DOI: https://doi.org/10.17816/JOWD87480
- ID: 87480
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详细
Background: genital prolaps which developes especially in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing is a common manifestation of generalized connective tissue defect (CTD) on the level of reproductive system.
全文:
Background: genital prolaps which developes especially in young unipara women after noncomplicated delivery without hormonal disorders and factors provided intraabdominal pressure increasing is a common manifestation of generalized connective tissue defect (CTD) on the level of reproductive system. The Ist and IIId types of collagen define mechanical structure of ligaments. The immunohistochemical investigations in cases of CTD showed sufficient expression of the Ist and IIId types of collagen but they did not form typical dimensional structure and were replaced of IVth type of collagen that led to altered mechanical characteristics of ligaments.
Materials and methods. The method of surgery in patients with altered uterine fixation was aimed on liquidation of uterine prolapse and prevention of its further reccurence. The basic surgery - hysterectomy- was added of vaginopexy with prolen transplantant (Gyne Mesh or Gyne Mesh soft). At 13,5% of patients with CTD MESH - vaginopexy was performed as the basic surgery. Also vaginal hysterectomy, anterior vaginl plastics using synthetic materials, TVT or TVT-0 and other surgeries were made. 10 patients with CTD desired to save the reproductive function underwent nonradical surgery.
Results. The using of synthetic materials in patients with CTD is rational because of insufficiency of their own tissues, development of severe genital prolapse and high risk of reccurence.
作者简介
V. Krasnopolskiy
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
编辑信件的主要联系方式.
Email: info@eco-vector.com
俄罗斯联邦, Moscow
S. Buyanova
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
V. Petrova
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
Т. Muravyeva
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
L. Evsyukova
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
М. Putilovskiy
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow