TY - JOUR

T1 - ХИРУРГИЯ ПРОЛАПСА ТАЗОВЫХ ОРГАНОВ ВАГИНАЛЬНЫМ ДОСТУПОМ В СПЕЦИАЛИЗИРОВАННОМ ЦЕНТРЕ: ЭВОЛЮЦИЯ ИМПЛАНТОВ ОТ «XL ДО XS»

AU - Шкарупа, Дмитрий Дмитриевич

AU - Кубин, Никита Дмитриевич

AU - Шульгин, Андрей Сергеевич

AU - Ковалев, Глеб Валерьевич

AU - Лабетов, Иван Антонович

AU - Шахалиев, Рустам Алигисмет оглы

PY - 2023/3/20

Y1 - 2023/3/20

N2 - Introduction. The use of large vaginal meshes for the treatment of pelvic organ prolapse (POP) combined with insufficient surgeon experience are the important risk factors for serious postoperative complications. Aim. To find the most safe and effective method of surgical treatment of POP. Materials and methods. To evaluate the efficiency of surgical techniques, a retrospective study of 5031 medical records from an electronic database was carried out. As the primary endpoint, we assessed the duration of the procedure, the volume of blood loss and the length of stay. As a secondary endpoint, the number of intra-and postoperative complications was assessed. In addition to objective data, we assessed subjective measures using the validated PFDI20 and PISQ12 questionnaires. Results. The best results in terms of blood loss were shown by unilateral hybrid pelvic floor reconstruction and three-level hybrid reconstruction (33±15 ml and 36±17 ml, respectively). Patients who underwent the three-level hybrid pelvic floor reconstruction technique had the highest result: 33±15 points of the PISQ12 questionnaire, 50±28 points of the PFDI20 questionnaire, which was significant in comparison with other techniques (p

AB - Introduction. The use of large vaginal meshes for the treatment of pelvic organ prolapse (POP) combined with insufficient surgeon experience are the important risk factors for serious postoperative complications. Aim. To find the most safe and effective method of surgical treatment of POP. Materials and methods. To evaluate the efficiency of surgical techniques, a retrospective study of 5031 medical records from an electronic database was carried out. As the primary endpoint, we assessed the duration of the procedure, the volume of blood loss and the length of stay. As a secondary endpoint, the number of intra-and postoperative complications was assessed. In addition to objective data, we assessed subjective measures using the validated PFDI20 and PISQ12 questionnaires. Results. The best results in terms of blood loss were shown by unilateral hybrid pelvic floor reconstruction and three-level hybrid reconstruction (33±15 ml and 36±17 ml, respectively). Patients who underwent the three-level hybrid pelvic floor reconstruction technique had the highest result: 33±15 points of the PISQ12 questionnaire, 50±28 points of the PFDI20 questionnaire, which was significant in comparison with other techniques (p

KW - hybrid pelvic floor reconstruction

KW - pelvic organ prolapse

KW - transvaginal mesh implant

UR - https://www.mendeley.com/catalogue/519f2a2b-252b-3fea-b577-bcf97837ca3d/

U2 - 10.18565/urology.2023.1.34-40

DO - 10.18565/urology.2023.1.34-40

M3 - статья

SP - 34

EP - 40

JO - УРОЛОГИЯ

JF - УРОЛОГИЯ

SN - 1728-2985

IS - 1

ER -