Markers of connective tissue dysfunction in terms of surgical treatment for pelvic organ prolapse

Bezhenar, V. F.; Deriy, E.K.; Ivanov, Olga; Azhimova, Sh.M.; Palastin, P.M.

doi:10.20953/1726-1678-2020-6-90-95

Cited by 3 publications

(1 citation statement)

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“…Креативная хирургия и онкология, Том 13, № 4, 2023 ВВЕДЕНИЕ Ежегодно растет число оперированных женщин по поводу тазового пролапса, на сегодня в мире в год более 300 000 женщин подвергаются хирургической коррекции данного заболевания. Наиболее распространенной методикой является бессетчатая хирургия, а именно передняя кольпоррафия [1]. Для данной методики характерно использование собственных тканей пациентки, которые уже потеряли свою функциональную полноценность, а следовательно, частота рецидивов заболевания значительна и приближается к 40 %.…”

Section: клинический случайunclassified

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Berg,

Musin,

Yаshchuk

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Pelvic organ prolapse is increasingly spreading around the world. Therefore, surgical interventions in this pathology are becoming more frequent. Non-mesh surgery for pelvic organ prolapse is reported to have a higher incidence of disease recurrence, and polypropylene mesh implants appear to cause implant-associated complications, thereby limiting their application in clinical practice. Materials and methods. When a patient with an apical prolapse and high risk of postoperative complications sought medical care in the Clinic, the specialists decided to perform promontofixation using a titanium mesh implant. Results and discussion. The present paper describes a clinical case of surgical treatment of genital prolapse using a titanium mesh implant. Since the patient who was admitted for surgical treatment had a family history of genital prolapse, an application of non-mesh technologies implied a high probability of genital prolapse recurrence, as well as a high risk of the vaginal erosion after surgery. Therefore, a promontofixation was performed using a titanium mesh implant, and the 6-month follow-up period showed no postoperative complications. Conclusion. Analysis of postoperative complications demonstrated a considerable potential of using titanium mesh implants for the prevention of implant-associated complications.

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Section: клинический случайunclassified

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Berg,

Musin,

Yаshchuk

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Monocytic profile of patients after pelvic floor reconstruction

Berg,

Yashchuk,

Musin

et al. 2024

Rus. Bull. Obstet.-Gynecol.

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Anatomical and functional conditions of the pelvic floor muscles after assisted vaginal delivery

Bezhenar

Frederiks

Leonova

et al. 2022

Journal of obstetrics and women's diseases

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BACKGROUND: The main function of the muscles of the perineum is to preserve the syntopy and topography of the organs of the abdominal cavity and small pelvis. Clinically, various groups of complaints that significantly worsen the patients quality of life manifest pelvic floor muscle failure. Currently, one of the most commonly discussed causes of pelvic organ prolapse is still considered obstetric trauma. AIM: The aim of this study was to assess the anatomical and functional conditions of the pelvic floor muscles after normal physiologic childbirth and childbirth with the use of obstetric forceps. MATERIALS AND METHODS: The study was conducted in Maternity Hospital No. 13 (Saint Petersburg, Russia) in 20202021, which involved 137 patients who delivered through the natural birth canal with the use of obstetric forceps (main group, n = 47) or without the use of delivery instruments (control group, n = 90) six months after delivery. A comprehensive assessment of the condition of the pelvic floor muscles was carried out using the validated PFDI-20 questionnaire and ultrasound examination of the pelvic floor structures at rest. A functional assessment of the condition was carried out using the Pneumatic Pelvic Muscle Trainer XFT-0010. RESULTS: Evaluating complaints using the PFDI-20 scale revealed that the median was 6.00 1.77 points in the main group and 5.50 1.29 points in the control group, the differences being not significant (p = 0.8). The ultrasound examination showed no significant difference in decreases in the thickness of the tendon center of the perineum and m. bulbocavernosus between the study groups; m. puborectalis thickness in the main group did not differ significantly from the norm either. The assessment of the functional condition of the pelvic floor muscles revealed no significant differences between the patients of the study groups. CONCLUSIONS: The data obtained demonstrate the safety of the use of obstetric forceps for the anatomical and functional viabilities of the pelvic floor muscles and do not have significant differences compared to childbirth performed without the use of delivery instruments. However, the use of obstetric forceps in the practice of obstetricians and gynecologists can be a reliable tool that does not affect the quality of life of patients in the long term.

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Markers of connective tissue dysfunction in terms of surgical treatment for pelvic organ prolapse

Cited by 3 publications

References 0 publications

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case

Monocytic profile of patients after pelvic floor reconstruction

Anatomical and functional conditions of the pelvic floor muscles after assisted vaginal delivery

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