An improved surgical approach to treatment of patients with complete uterine prolapse

Ищенко А. И., Александров Л. С., Ищенко А. А., Хохлова И. Д., Гаврилова Т. В., Горбенко О. Ю., Джибладзе Т. А., Брюнин Д. В., Гадаева И. В., Малюта Е. Г.

Вопросы гинекологии, акушерства и перинатологии

Т. 19, Вып. 1, С. 32-39

Опубликовано: 2020

Тип ресурса: Статья

DOI:10.20953/1726-1678-2020-1-32-39

Аннотация:

Objective. To compare the results of operative treatment of patients with complete uterine prolapse following «traditional» vaginal hysterectomy and vaginal hysterectomy with subsequent colpopexy according to an original method. Patients and methods. The article presents an improved surgical technique of treating patients with complete uterine prolapse, retraces near and remote outcomes of operative intervention, the frequency of disease recurrences in 72 pre-and post-menopausal patients, who were divided into two groups depending on surgical volume: vaginal hysterectomy with subsequent colpopexy according to an original method (group 1, n = 36) and classical vaginal hysterectomy (group 2, n = 36). Results. Surgical patients were dynamically followed for 48 months. The questionnaire survey among the patients 6 months later showed an increase in the quality of life in all 72 cases according to the data of the PFDI-20 inventory and normalisation of the sexual sphere parameters in all 22

Ключевые слова:

Disease recurrence; Genital prolapse; Mesh-ligature transverse colpopexy; Vaginal hysterectomy

anterior vaginal wall prolapse; Article; controlled study; disease exacerbation; female; health survey; human; major clinical study; pelvic organ prolapse; posterior vaginal wall prolapse; postmenopause; premenopause; quality of life; questionnaire; recurrent disease; sacrocolpopexy; sexual behavior; surgical approach; surgical volume; uterus prolapse; vaginal hysterectomy; vaginal vault prolapse

Язык текста: Русский

ISSN: 2414-9152

Ищенко А. И. Анатолий Иванович 1951-

Александров Л. С. Леонид Семенович 1963-

Ищенко А. А. Антон Анатольевич 1978-

Хохлова И. Д. Ирина Дмитриевна 1954-

Гаврилова Т. В.

Горбенко О. Ю. Оксана Юрьевна 1980-

Джибладзе Т. А. Теа Амирановна 1964-

Брюнин Д. В. Дмитрий Викторович 1972-

Гадаева И. В. Ирина Викторовна 1965-

Малюта Е. Г. Елена Геннадьевна 1970-

Ishhenko A. I. Anatolij Ivanovich 1951-

Aleksandrov L. S. Leonid Semenovich 1963-

Ishhenko A. A. Anton Anatolyevich 1978-

Khokhlova I. D. Irina Dmitrievna 1954-

Gavrilova T. V.

Gorbenko O. Yu. Oksana Yuryevna 1980-

Dzhibladze T. A. Tea Amiranovna 1964-

Bryunin D. V. Dmitrij Viktorovich 1972-

Gadaeva I. V. Irina Viktorovna 1965-

Malyuta E. G. Elena Gennadyevna 1970-

An improved surgical approach to treatment of patients with complete uterine prolapse

Текст визуальный непосредственный

Вопросы гинекологии, акушерства и перинатологии

ООО "Издательство "Династия"

Т. 19, Вып. 1 С. 32-39

2020

Статья

Disease recurrence Genital prolapse Mesh-ligature transverse colpopexy Vaginal hysterectomy

anterior vaginal wall prolapse Article controlled study disease exacerbation female health survey human major clinical study pelvic organ prolapse posterior vaginal wall prolapse postmenopause premenopause quality of life questionnaire recurrent disease sacrocolpopexy sexual behavior surgical approach surgical volume uterus prolapse vaginal hysterectomy vaginal vault prolapse

Objective. To compare the results of operative treatment of patients with complete uterine prolapse following «traditional» vaginal hysterectomy and vaginal hysterectomy with subsequent colpopexy according to an original method. Patients and methods. The article presents an improved surgical technique of treating patients with complete uterine prolapse, retraces near and remote outcomes of operative intervention, the frequency of disease recurrences in 72 pre-and post-menopausal patients, who were divided into two groups depending on surgical volume: vaginal hysterectomy with subsequent colpopexy according to an original method (group 1, n = 36) and classical vaginal hysterectomy (group 2, n = 36). Results. Surgical patients were dynamically followed for 48 months. The questionnaire survey among the patients 6 months later showed an increase in the quality of life in all 72 cases according to the data of the PFDI-20 inventory and normalisation of the sexual sphere parameters in all 22