EXPERIENCE IN APPLYING A NEW APPROACH TO INSTALLING A MESH PROSTHESIS TRANSVAGINALLY IN SURGERY FOR GENITAL PROLAPSE

  • A.I. Korkan Kazakh Medical University of Continuing Education Kazakhstan, Almaty
  • M.V. Laktionova Kazakh Medical University of Continuing Education Kazakhstan, Almaty
Keywords: apical prolapse, cystocele, stress urinary incontinence

Abstract

The article presents a retro and prospective analysis of 173 cases of surgical treatment of genital prolapse since June 2013. - June 2019. Their 75 of them were operated according to the concept developed by us and 92 cases of laparoscopic access for control. The new concept is to model the prosthesis intraoperatively, with a mesh size of 4 * 4 cm with a shoulder length of 10 cm on each side, which is optimal for eliminating cystocele and, in some cases, apical prolapse. The number of repeated interventions during reposition of the pubo-cervical fascia was in 4 cases, with the development of stress urinary incontinence de novo (5.3%, Pearson’s criterion, X² = 0.053 / P> 0.05). Vaginal mesh erosion was statistically significant in number (8 cases (10.6%), F = 0.035799 / OR = 7.88 / ξ2 = 5.02 /), however, only 6 cases had to be excised (F = 0.119886 / OR = 5.74 / ξ2 = 3.2 / P> 0.05). Thus, the new concept of using prostheses for transvaginal treatment of prolapse can be considered effective and safe.

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Published
2020-03-20
How to Cite
Korkan, A., & Laktionova, M. (2020). EXPERIENCE IN APPLYING A NEW APPROACH TO INSTALLING A MESH PROSTHESIS TRANSVAGINALLY IN SURGERY FOR GENITAL PROLAPSE. Reproductive Medicine, (1(42), 19-22. https://doi.org/10.37800/rm2020-1-1