An optimized approach to the surgical correction and prevention of genital prolapse in women

Urgency of the problem is due to the prevalence of genital prolapse, early onset, high rates of relapse. In this regard, this study before the goal was set: to increase the effectiveness of surgical treatment of patients with prolapse of the internal reproductive organs by developing and implementin...

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Main Authors: A. I. Ischenko, L. S. Aleksandrov, O. Yu. Gorbenko, Yu. V. Chushkov, K. A. Budnikova
Format: Article
Language:Russian
Published: Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) 2022-12-01
Series:Сеченовский вестник
Subjects:
Online Access:https://www.sechenovmedj.com/jour/article/view/739
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author A. I. Ischenko
L. S. Aleksandrov
O. Yu. Gorbenko
Yu. V. Chushkov
K. A. Budnikova
author_facet A. I. Ischenko
L. S. Aleksandrov
O. Yu. Gorbenko
Yu. V. Chushkov
K. A. Budnikova
author_sort A. I. Ischenko
collection DOAJ
description Urgency of the problem is due to the prevalence of genital prolapse, early onset, high rates of relapse. In this regard, this study before the goal was set: to increase the effectiveness of surgical treatment of patients with prolapse of the internal reproductive organs by developing and implementing a new method of surgical treatment and prevention of recurrent prolapse. We examined 74 women with prolapse of the internal reproductive organs in combination with other gynecological pathology: I group consisted of 38 patients who underwent surgical treatment of descent and prolapse of internal genitals by a modifi ed procedure based on the method of fixing the sacro-uterine ligaments ≪reinforced≫ aponeurotic flap; Group II — 36 patients who underwent the original two-stage combined operation of fixing the sacro-uterine ligaments aponeurotic flap method of V.I. Krasnopolsky. Studies have shown that the proposed modification is physiologically sound and technically easy to perform, almost does not extend the time of surgery (compared with the original analogue), allows to some extent to preserve reproductive function, restore the anatomy and function of the pelvic organs. Its application is not accompanied by severe postoperative complications, reduces the number of relapses, improve quality of life.
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spelling doaj.art-d782267c4c324194bca9d90ebe12ac292023-03-13T09:51:36ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482022-12-01027277433An optimized approach to the surgical correction and prevention of genital prolapse in womenA. I. Ischenko0L. S. Aleksandrov1O. Yu. Gorbenko2Yu. V. Chushkov3K. A. Budnikova4I.M. Sechenov First MSMUI.M. Sechenov First MSMUI.M. Sechenov First MSMUI.M. Sechenov First MSMUI.M. Sechenov First MSMUUrgency of the problem is due to the prevalence of genital prolapse, early onset, high rates of relapse. In this regard, this study before the goal was set: to increase the effectiveness of surgical treatment of patients with prolapse of the internal reproductive organs by developing and implementing a new method of surgical treatment and prevention of recurrent prolapse. We examined 74 women with prolapse of the internal reproductive organs in combination with other gynecological pathology: I group consisted of 38 patients who underwent surgical treatment of descent and prolapse of internal genitals by a modifi ed procedure based on the method of fixing the sacro-uterine ligaments ≪reinforced≫ aponeurotic flap; Group II — 36 patients who underwent the original two-stage combined operation of fixing the sacro-uterine ligaments aponeurotic flap method of V.I. Krasnopolsky. Studies have shown that the proposed modification is physiologically sound and technically easy to perform, almost does not extend the time of surgery (compared with the original analogue), allows to some extent to preserve reproductive function, restore the anatomy and function of the pelvic organs. Its application is not accompanied by severe postoperative complications, reduces the number of relapses, improve quality of life.https://www.sechenovmedj.com/jour/article/view/739gynecologygenital prolapsesurgical treatment
spellingShingle A. I. Ischenko
L. S. Aleksandrov
O. Yu. Gorbenko
Yu. V. Chushkov
K. A. Budnikova
An optimized approach to the surgical correction and prevention of genital prolapse in women
Сеченовский вестник
gynecology
genital prolapse
surgical treatment
title An optimized approach to the surgical correction and prevention of genital prolapse in women
title_full An optimized approach to the surgical correction and prevention of genital prolapse in women
title_fullStr An optimized approach to the surgical correction and prevention of genital prolapse in women
title_full_unstemmed An optimized approach to the surgical correction and prevention of genital prolapse in women
title_short An optimized approach to the surgical correction and prevention of genital prolapse in women
title_sort optimized approach to the surgical correction and prevention of genital prolapse in women
topic gynecology
genital prolapse
surgical treatment
url https://www.sechenovmedj.com/jour/article/view/739
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