The result of surgical interventions in women with recurrent prolapse of the vagina posterior segment
DOI:
https://doi.org/10.14739/2310-1210.2014.3.26038Keywords:
Uterine Prolapse, Recurrence, Treatment, Postoperative Complications, PreventionAbstract
Aim. 44 women with recurrent genital prolapse of the posterior segment of the vagina were examined and treated. Results of different types of synthetic implants were evaluated.
Methods and results. 26 patients underwent transvaginal mesh with implant. In 18 patients implant Prolift posterior™ was used. The paper presents the features of the application and possible complications of the use of synthetic implants to correct the fascial defects of the posterior vaginal wall. Intraoperative bleeding after Prolift posterior™ installing were observed in 5.6 % of patients, that was lower than in the control group –7,7% (p<0,05). Extensive subcutaneous hematoma was observed in 88,7% of patients after installation of the Prolift posterior™, in the comparison group – in 15,4% of patients. Wounding anterior rectal wall was observed only in 1 (5,6%) case when Prolift posterior™was installed.
Conclusion. The analysis of the causes of postoperative complications and their prevention methods proposed. Recurrence after surgery with the use of synthetic materials in the operated segment was not observed.
References
Bezhenar, V. F., Ailamazyan, E. K., Rulev, V. V., Bogatyreva, E. V., Rusina, E. I., Kvetnoi, I. M., et al. (2011). Effektivnost` primeneniya sistemy «Prolift total» pri khirurgicheskom lechenii dekompensirovanykh form prolapse tazovykh organov u zhenshhin [Efficiency of application of the system "Prolift total" at surgical treatment of the decompensated forms of prolapse of pelvic organs for women]. Zhurnal akusherstva i zhenskikh boleznej, 60(1), 21–30. [in Russian].
Banakhevich, R. M., & Akimova, K. B. (2011). Klinicheskij opyt ispol`zovaniya implantov v rekonstrukcii recidiva prolapsa perednego segmenta vlagalishha [Clinical experience of the use of implants is in the reconstruction of relapse of prolapse of front segment of vagina]. Zhurnal akusherstva i zhenskikh boleznej, 60, 10–14. [in Russian].
Potapov, V. O., Banakhevich, R. M., Akimova, K. B., Echin, A.V., & Dziuba, Yu. N. (2009). Sravnitel'naya kharakteristika e`ffektivnosti rekonstrukcii segmentov vlagalishha [Comparative description of efficiency of reconstruction of segments of vagina]. Zhurnal akusherstva i zhenskikh boleznej, 58(5), 40–41. [in Russian].
(2013) Banakhevich, R. M., Potapov, V. O., Akimova, K. B., Echin, A. V., Zolotariv, D. L, inventor; Banakhevich R.M, assignee. Implant dlia kherurhicheskoho lecheniia rektotsele. Ukraina patent UA u201307697. 83561. 2013 sert. 10. Int. Cl. MPK A 61 F. Ukrainian. Biulleten`, 17. [in Russian].
Antomonov, M. Yu. (2006). Matematicheskaya obrabotka i analis medico-biologicheskikh dannykh [Mathematical treatment and analysis of biomedical data]. Kyiv: Malyi druk. [in Ukrainian].
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
