Analysis of study rezults of biopsies of the vagina mucous membrane in women with recurrent genital prolapse.

Банахевич, Р. М.; Akimova, К. В.; Gritsenko, P. O.; Roghnev, E. Yu.

doi:10.26641/2307-0404.2014.2.28332

Cited by 2 publications

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“…1,2 To date, all proposed methods are associated with a fairly high frequency of anatomical recurrences of 30%−61.7% when using autotissues and 7% when using prosthetic materials. 3,4 However, most literature reviews indicate that quality of life assessments show similar results for the two surgical approaches, and surgery using MESH-systems is still associated with a large number of specific complications, which is the main obstacle to the effective use of mesh materials in gynecology. 5 Earle and Mark 6 proposed a classification of prosthetic (mesh) materials based on weight: heavy (more than 80 g/m 2 ), medium weight (50–80 g/m 2 ) and light (less than 35 g/m 2 ).…”

Section: Introductionmentioning

confidence: 99%

Transvaginal surgical treatment of stage III-IV cystocele using a light prolene mesh: Safety of use and 5-year follow-up results

Banakhevych¹,

Akymova²,

Pariienko³

et al. 2023

Urologia

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Objective: The relevance of the article is due to the spread of the problem of genital prolapse in women. In order to solve this, the purpose of the presented work is to present and evaluate the 5-year experience of using light-weight polypropylene mesh, which is used in the transvaginal surgical treatment of stage III-IV cystocele. Methods: A retrospective cohort study was conducted at the Dnipro State Medical University at the Department of Obstetrics and Gynecology in the period from 2010 to 2020. A total of 612 patients with an average age of 64.8 ± 8.2 years (range 47–79) were included in it. Results: Long-term analysis of operative treatment in 374 patients (76.0%) after 60 months showed a high level of satisfaction with the results of the operation 99.2% (371/374). A significant level of elimination of pathological symptoms in the functioning of the pelvic organs and improvement of the quality of life was established, which were assessed using questionnaires: PFDI-20 (76.4–4.3 ( p < 0.05)), PFIQ-7 (41–8.4 ( p < 0.05)), before the operation and at the final stage of the study. In total, 12 months after the operation, 2.6% (12/467) of the patients were re-operated on due to erosion of the vaginal wall at the site of placement of the MESH-system. Conclusions: The proposed technique for restoring the front wall of the vagina in case of an isolated cystocele of the III-IV degree, without signs of incomplete or complete prolapse of the uterus, showed a recurrence-free result in the indicated segment of the vagina.

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Section: Introductionmentioning

confidence: 99%

Transvaginal surgical treatment of stage III-IV cystocele using a light prolene mesh: Safety of use and 5-year follow-up results

Banakhevych¹,

Akymova²,

Pariienko³

et al. 2023

Urologia

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“…Recent studies strongly suggest that the risk of pelvic organ prolapse is 13%-19% throughout life, 1,2 and most often patients are operated on for cystocele. 3 The elevated risk of relapse after this procedure is from 30% to 61.7% 2,3 and 7% when using prosthetic materials, [2][3][4][5] which requires the search for new relapse-free technologies and a reduction in the complications number, new treatment methods. As a result, the use transvaginal Mesh-systems (TVM), which are non-resorbable or partially resorbable, has become a forced necessity for the creation of neofascia and nen-unions of the pelvic organs.…”

Section: Introductionmentioning

confidence: 99%

Prevention of complications of surgical treatment of stage III-IV cystocele using light polypropylene mesh

Banakhevych,

Akymova,

Pariienko

et al. 2023

Urologia

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Objective: The purpose of study was to report the subjective and objective results of different methods of surgical treatment of cystocele using the transvaginal Mesh-system. Methodology: A prospective study was conducted from January 2017 to December 2020 comparing anterior colporrhaphy with vaginal mesh and two distinct types of vaginal wall repair sutures in the surgical treatment of cystocele. The primary endpoint was the incidence rate of vaginal wall erosion complications 12 months after surgery. Secondary endpoints were anatomic outcomes, TVM-related morbidity, and patient satisfaction measured using validated questionnaires. Results: In total, 102 patients with stage III-IV cystocele and the average age of 67.2 ± 3.1 years (age range of 47–79 years old) took part in the study. Of the 102 women initially enrolled, 102 (100%) were successfully followed up 12 months after primary surgery. The primary result, the objective erosion development, was radically different in the comparison groups (1.6% against 23.5%, respectively). Analysis of the improved method of operative treatment showed a prominent level of positive, uncomplicated, surgery results of 98.4% (60/61). The anatomic success rate of recovery from cystocele was 99.9% (101/102) 12 months after surgery. Conclusion: The suggested method of restoring the anterior vaginal wall in stage III-IV isolated cystocele without signs of incomplete and complete prolapse of the uterus showed a radically positive result. The number of complications was relatively high in the comparison group, but no difference was observed in satisfaction with the anatomical results of the surgery. The percentage of the vaginal wall erosion when using a single-layer suture is 23.5%, when using a two-layer suture is 1.6%

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Analysis of study rezults of biopsies of the vagina mucous membrane in women with recurrent genital prolapse.

Cited by 2 publications

References 0 publications

Transvaginal surgical treatment of stage III-IV cystocele using a light prolene mesh: Safety of use and 5-year follow-up results

Transvaginal surgical treatment of stage III-IV cystocele using a light prolene mesh: Safety of use and 5-year follow-up results

Prevention of complications of surgical treatment of stage III-IV cystocele using light polypropylene mesh

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