A differential approach to treating apical prolapse via a vaginal route

Barinova E.K., Damirova S.F., Aryutin D.G., Ordiyants I.M., Gagaev Ch.G., Zulumyan T.N., Ordiyants E.G.

1) Medical Institute, Peoples’ Friendship University of Russia, Moscow, Russia; 2) N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department, Moscow, Russia
A differential approach to treating apical prolapse is acquiring high relevance. The article reviews the literature, including randomized trials dedicated to apical prolapse treatment via a vaginal route. Much attention is paid to up-to-date methods for correcting apical prolapse by using native tissues and by applying mesh technologies. Intra- and postoperative complications are described The complex process of choosing a surgical intervention directly depends on the nature and severity of prolapse.
Conclusion. It is necessary to take into account the general condition of a woman, her desire to save the uterus, as well as the preferences and capabilities of a surgeon. Knowledge of topographic anatomy, compliance with the implant placement technique, and an individual approach ensure the success of surgical treatment.

Keywords

genital prolapse
apical prolapse
apical prolapse treatment
pelvic organ prolapse

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Received 06.04.2020

Accepted 16.06.2020

About the Authors

Ebecha K. Barinova, graduate student of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(926)695-40-73. E-mail: barinovaek@inbox.ru. https://orcid.org/0000-0001-8282-6508. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Saadet F. K. Damirova, graduate student of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(925)485-07-71. E-mail: doctorsaadet@gmail.ru. https://orcid.org/0000-0002-3795-6044. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Dmitry G. Aryutin, Ph.D., Head of the Gynecological Department GBUS «GKB № 29 them N.E. Bauman DM», assistant FPC MR Department of Obstetrics and Gynecology with a course of perinatology RUDN. Tel.: +7(903)772-95-38. E-mail: aryutin@mail.ru. https://orcid.org/0000-0003-0258-8445. 2 Hospital sq., Moscow, 111020, Russia.
Irina M. Ordiants, Dr. MD., Professor of the Department of Obstetrics and Gynecology with a course of perinatology RUDN, MD, Professor.
Tel.: +7(926)800-50-36. E-mail: ordiyantc@mail.ru. https://orcid.org/0000-0001-5882-9995. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Celibi H. Gagaev, Dr. MD., Professor of the Department of Obstetrics and Gynecology with a course of perinatology, RUDN.
Tel.: +7(910)418-84-98. E-mail: gasanovich@gmail.com. https://orcid.org/0000-0001-7213-5981. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Tatevik N. Sulumyan, Ph.D., Assistant of the Department of Obstetrics and Gynecology with a course of perinatology RUDN.
Tel.: +7(929)503-99-04. E-mail: zulum@mail.ru. https://orcid.org/0000-0002-5837-3622. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.
Elena G. Ordiants, Assistant of the Department of Obstetrics and Gynecology and Reproductology, RUDN.
E-mail: +7(926)007-12-31. E-mail: ordiyansfit@mail.ru. 8 Miklukho-Maklaja str., Moscow, 117198, Russia.

For reference: Barinova E.K., Damirova S.F., Aryutin D.G., Ordiyants I.M., Gagaev Ch.G., Zulumyan T.N., Ordiyants E.G. A differential approach to treating apical prolapse via a vaginal route.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 6: 124-131 (in Russian).
https://dx.doi.org/10.18565/aig.2020.6.124-131

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