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Obstetrics and Gynegology2023№8
The place of vaginal sacrospinal...

The place of vaginal sacrospinal fixation in the surgical treatment of genital prolapse

DOI
https://dx.doi.org/10.18565/aig.2023.148

Cheremin M.M., Smolnova T.Yu., Chuprynin V.D., Chursin V.V., Melnikov M.V.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia
Vaginal sacrospinal fixation (VSSF) occupies a certain place among the surgical methods to correct genital prolapse (PG). The frequency of this operation in a number of countries may run to 64%. This frequency of surgery was due to a shorter time of its performance, a reduction in hospitalization length (2.2±1.6 days), to a rapid postoperative recovery, as well as to its economic feasibility. The surgery is the method of choice in patients of an older age (55–70 years) group with a high comorbidity index, recurrent prolapse, as well as in cases of contraindications to abdominal methods. The most complications of the surgery are bleedings (0.5–2.5%), wounds of the adjacent organs (5–6.1%), wound infection, as well as mesh implant extrusion and dyspareunia. The frequency of the above complications is substantially lower than during other GP correction operations or does not differ. De novo stress urinary incontinence was found in 22% of cases. The frequency of recurrences ranges from 1.6 to 7.9% and depends on the form of GP, etc.
Conclusion: VSSF is as effective as abdominal sacrocolpopexy in correcting apical prolapse in the long term, and therefore it has its place in PG surgery.

Authors' contributions: Cheremin M.M. – collection of literature sources, analysis of literature data, writing the article; Smolnova T.Yu. – formation of the review, analysis of foreign literature, editing; Chuprynin V.D. – analysis of foreign literature, editing; Chursin V.V. – analysis of Russian literature, editing; Melnikov M.V. – editing of the review article.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
For citation: Cheremin M.M., Smolnova T.Yu., Chuprynin V.D., Chursin V.V., Melnikov M.V. The place of vaginal sacrospinal fixation in the surgical treatment of genital prolapse.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (8): 14-21 (in Russian)
https://dx.doi.org/10.18565/aig.2023.148

Keywords

genital prolapse
laparoscopic sacrocolpopexy
vaginal sacrospinal fixation
mesh implant
recurrent genital prolapse
complications
Full text (in Russian)

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Received 13.06.2023

Accepted 11.07.2023

About the Authors

Mikhail M. Cheremin, post-graduate student, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, mkhrznt@gmail.com,
https://orcid.org/0000-0002-8600-068X, 117997, Russia, Moscow, Academician Oparin str., 4.
Tatyana Yu. Smolnova, Dr. Med. Sci., Senior Researcher, Department of General Surgery, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
smoltat@list.ru, https://orcid.org/0000-0003-3543-651X, 117997, Russia, Moscow, Academician Oparin str., 4.
Vladimir D. Chuprynin, PhD, Head of the Department of Surgery, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, v_chuprynin@oparina4.ru,
https://orcid.org/0009-0003-7856-2863, 117997, Russia, Moscow, Academician Oparin str., 4.
Vyacheslav V. Chursin, Physician at the Department of Surgery, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, v_chursin@oparina4.ru,
https://orcid.org/0009-0003-7856-2863, 117997, Russia, Moscow, Academician Oparin str., 4.
Mikhail V. Melnikov, PhD, Head of the Department of General Surgery, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, m_melnikov@oparina4.ru, https://orcid.org/0009-0007-2792-7200, 117997, Russia, Moscow, Academician Oparin str., 4.

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