TY - JOUR

T1 - Лапаровагинальная гибридная реконструкция тазового дна

AU - Кубин, Никита Дмитриевич

AU - Сучков, Денис Александрович

AU - Шахалиев, Рустам Алигисмет оглы

AU - Мульдаров, Зайнулабид Исламович

AU - Шкарупа, Дмитрий Дмитриевич

AU - Шульгин, Андрей Сергеевич

PY - 2025

Y1 - 2025

N2 - Sacrocolpopexy is the gold standard treatment for pelvic organ prolapse (POP). However, this technique involves extensive dissection of the pelvic floor structures, which has led to a modification of the standard technique. Objective. To study the efficacy and safety of combined laparovaginal hybrid pelvic floor reconstruction. Patients and methods. The study enrolled 74 patients who underwent surgical intervention. The technique included anterior and posterior colporrhaphy, perineoplasty, and simplified sacrohysteropexy. Data from the validated PFDI-20, PISQ-12 and ICIQ-SF questionnaires, analysis of prolapse stages according to the POP-Q system, and the presence of complications were used to evaluate the efficacy. Results. The mean duration of surgery was 162.2 ± 45.2 minutes. Recurrent prolapse that required repeat intervention was recorded in 5% of patients within 12–18 months of follow-up. The symptoms of de novo stress urinary incontinence (SUI) were detected in 4% of patients, and 2.7% experienced worsening of pre-existing SUI. No cases of implant erosion and dyspareunia were recorded. Patients reported a significant improvement in the quality of life, which was confirmed by questionnaire findings. Conclusion. The use of combined laparovaginal strategy makes it possible to perform the reconstruction of pelvic floor in all its sections and to achieve high anatomical and functional results with less complications.

AB - Sacrocolpopexy is the gold standard treatment for pelvic organ prolapse (POP). However, this technique involves extensive dissection of the pelvic floor structures, which has led to a modification of the standard technique. Objective. To study the efficacy and safety of combined laparovaginal hybrid pelvic floor reconstruction. Patients and methods. The study enrolled 74 patients who underwent surgical intervention. The technique included anterior and posterior colporrhaphy, perineoplasty, and simplified sacrohysteropexy. Data from the validated PFDI-20, PISQ-12 and ICIQ-SF questionnaires, analysis of prolapse stages according to the POP-Q system, and the presence of complications were used to evaluate the efficacy. Results. The mean duration of surgery was 162.2 ± 45.2 minutes. Recurrent prolapse that required repeat intervention was recorded in 5% of patients within 12–18 months of follow-up. The symptoms of de novo stress urinary incontinence (SUI) were detected in 4% of patients, and 2.7% experienced worsening of pre-existing SUI. No cases of implant erosion and dyspareunia were recorded. Patients reported a significant improvement in the quality of life, which was confirmed by questionnaire findings. Conclusion. The use of combined laparovaginal strategy makes it possible to perform the reconstruction of pelvic floor in all its sections and to achieve high anatomical and functional results with less complications.

KW - combined laparovaginal reconstruction

KW - mesh implant

KW - pelvic organ prolapse

KW - sacrohysteropexy

UR - https://www.mendeley.com/catalogue/2c057a5a-3e50-325d-80c2-8d9cd7c2df72/

U2 - 10.20953/1726-1678-2025-3-49-55

DO - 10.20953/1726-1678-2025-3-49-55

M3 - статья

VL - 24

SP - 49

EP - 55

JO - ВОПРОСЫ ГИНЕКОЛОГИИ, АКУШЕРСТВА И ПЕРИНАТОЛОГИИ

JF - ВОПРОСЫ ГИНЕКОЛОГИИ, АКУШЕРСТВА И ПЕРИНАТОЛОГИИ

SN - 1726-1678

IS - 3

ER -