Research output: Contribution to journal › Article › peer-review
EVALUATION AND COMPARISON EFFICIENCY OF THE TROCAR AND TROCAR FREE METHODOLOGY OF RECONSTRUCTION OF THE FRONT AND APICAL COMPARTMENTS OF THE PELVIC FLOOR USING SYNTHETIC MESH WITH PELVIC PROLAPSE. / Pliss, Mikhail ; Gorelov, A. ; Peshkov, N. ; Gorelova, A. .
In: Journal of Health Sciences and Nursing, Vol. 4, No. 2, 2019, p. 61-69.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - EVALUATION AND COMPARISON EFFICIENCY OF THE TROCAR AND TROCAR FREE METHODOLOGY OF RECONSTRUCTION OF THE FRONT AND APICAL COMPARTMENTS OF THE PELVIC FLOOR USING SYNTHETIC MESH WITH PELVIC PROLAPSE
AU - Pliss, Mikhail
AU - Gorelov, A.
AU - Peshkov, N.
AU - Gorelova, A.
N1 - Pliss, M., Gorelov, A., Peshkov, N., & Gorelova, A. (2019). EVALUATION AND COMPARISON EFFICIENCY OF THE TROCAR AND TROCAR FREE METHODOLOGY OF RECONSTRUCTION OF THE FRONT AND APICAL COMPARTMENTS OF THE PELVIC FLOOR USING SYNTHETIC MESH WITH PELVIC PROLAPSE. IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X), 4(2), 61-69. Retrieved from https://ijrdo.org/index.php/hsn/article/view/2693
PY - 2019
Y1 - 2019
N2 - Pelvic floor reconstruction with vaginal access using synthetic mesh is a common and effective approach to the treatment of pelvic prolapse positive forms. The current stage in the mesh pelvic surgery development is the best-practice implant placement technique emergence - SIMS (single-incision mesh system).SIMS fundamental differences: mesh system fixing with harpoon elements (anchor) to the most durable connective tissue structures of the pelvis (sacrospinal ligament, obturator membrane); less traumatization due to the absence need to carry out trocars through the pelvic surface tissues.According to the recent studies (Lukban JC et al., 2012; RD Moore et al., 2012; EJ Stanford et al., 2013), objective efficacy of the Elevate ™ system using during the year with anterior plastic is from 88% to 92%, the apical - from 89% to 96%, back to 93% [1,2,3]. Comparing SIMS with traditional mesh plastic (210 patients, the follow-up period is 1 year): the anatomical efficiency for the anterior part was 98% versus 87% (p = 0.006), for the apical 99% versus 96% (p = 0.317), and for the posterior 100% versus 97% (p = 0.367) [4]. Nevertheless, there are questions about the reliability of harpoon elements fixing and the new operational methodology safety remain.
AB - Pelvic floor reconstruction with vaginal access using synthetic mesh is a common and effective approach to the treatment of pelvic prolapse positive forms. The current stage in the mesh pelvic surgery development is the best-practice implant placement technique emergence - SIMS (single-incision mesh system).SIMS fundamental differences: mesh system fixing with harpoon elements (anchor) to the most durable connective tissue structures of the pelvis (sacrospinal ligament, obturator membrane); less traumatization due to the absence need to carry out trocars through the pelvic surface tissues.According to the recent studies (Lukban JC et al., 2012; RD Moore et al., 2012; EJ Stanford et al., 2013), objective efficacy of the Elevate ™ system using during the year with anterior plastic is from 88% to 92%, the apical - from 89% to 96%, back to 93% [1,2,3]. Comparing SIMS with traditional mesh plastic (210 patients, the follow-up period is 1 year): the anatomical efficiency for the anterior part was 98% versus 87% (p = 0.006), for the apical 99% versus 96% (p = 0.317), and for the posterior 100% versus 97% (p = 0.367) [4]. Nevertheless, there are questions about the reliability of harpoon elements fixing and the new operational methodology safety remain.
KW - pelvic prolapse
UR - https://ijrdo.org/index.php/hsn/article/view/2693
M3 - Article
VL - 4
SP - 61
EP - 69
JO - Journal of Health Sciences and Nursing
JF - Journal of Health Sciences and Nursing
SN - 2456-298X
IS - 2
ER -
ID: 39789577