Experience in the application of vaginal polydioxanone thread in miniperineoplasty for the treatment of the vaginal wall prolapse
Bakhtiyarov K.R., Shchukina A.S., Kalseidova K.Sh.
Aim. TTo evaluate the effectiveness of miniperineoplasty with vaginal polydioxanone thread for correcting the prolapse of the vaginal walls and prolapse of the pelvic organs in comparison with traditional perineolevatoroplasty.
Material and methods. The study included 98 patients aged 35 to 70 years; they were examined and operated on the basis of the Semeynaya clinic in Moscow in the period from 2016 to 2018. Patients were divided into two groups: 1st (n = 51) and 2nd (n = 47). The average age in the 1st group was 47 ± 0.35 years, and in the 2nd it was 45 ± 0.44 years. In the 1st group, minimized anterior and posterior colporrhaphia, miniperineolevatoroplasty with the vaginal polydioxanone thread were performed; while anterior and posterior colporrhaphia, perineolevatoroplasty were performed in the 2nd group.
Results. When carrying out minimized anterior and posterior colporrhaphia, miniperineolevatoroplasty with the vaginal polydioxanone thread, the average volume of blood loss and the average duration of the operation are lower compared to the group of patients who underwent anterior and posterior colporrhaphia, perineolevatoroplasty.
Conclusion. Minimal invasiveness, reducing the time of surgery, the volume of average blood loss and the period of disability are weighty arguments in favor of the use of vaginal polydioxanone threads.
Keywords
miniperineoplasty
vaginal polydioxanone thread
vaginal wall prolapse
pelvic organ prolapse
References
- Дзанаева Д.Б., Тотиков В.З., Цидаева Т.И., Цаллагова Л.В. К вопросу о выборе метода лечения у больных с ректоцеле и опущением стенок влагалища. Вестник новых медицинских технологий. 2007; ХIV(1): 96. [Dzanaeva D.B., Totikov V.Z., Cidaeva T.I., Czallagova L.V. K voprosu o vy'bore metoda lecheniya u bol'ny'x s rektocele i opushheniem stenok vlagalishha. Vestnik novy'x medicinskix texnologij. 2007; XIV(1): 96. (In Russian)]
- Hendrix S.L., Clark A., Nygaard I., et al. Pelvic organ prolapse in the Womenʹs Health Initiative: gravity and gravidity. Am J Obstet Gynecol 2002; 186(6): 1160–6.
- Гвоздев М.Ю., Тупикина Н.В., Касян Г.Р., Пушкарь Д.Ю. Пролапс тазовых органов в клинической практике врача-уролога. Методические рекомендации № 3. М., 2016. 8 с. [Gvozdev M.Yu., Tupikina N.V., Kasyan G.R., Pushkar' D.Yu. Prolaps tazovy'x organov v klinicheskoj praktike vracha-urologa. Metodicheskie rekomendacii № 3. M., 2016. 8 p. (In Russian)]
- Fatton B. Is hysterectomy indicated during prolapsus treatment? Ann Urol. 2007; 41 (3): 91-100.
- Ищенко А.И. Комбинированное хирургическое лечение больных с опущением и выпадением внутренних половых органов. Вопросы гинекологии, акушерства и перинатологии. 2007; 6(5): 30-35. [Ishhenko A.I. Kombinirovannoe xirurgicheskoe lechenie bol'ny'x s opushheniem i vy'padeniem vnutrennix polovy'x organov. Voprosy' ginekologii, akusherstva i perinatologii. 2007; 6(5): 30-35. (In Russian)]
- Милхасян В.А. Пролапсы. Обзор литературы. Электронный ресурс. http://uroexpert.ru. Дата обращения: 16.05.14. [Milxasyan V.A. Prolapsy'. Obzor literatury'. E'lektronny'j resurs. http://uroexpert.ru. Data obrashheniya: 16.05.14.(In Russian)]
- Аккардо Ч., Аполихина И.А., Одинокова В.А. Перинеовагинальный лифтинг – новое в лечении генитального пролапса и сексуальных расстройств. Акушерство и гинекология. 2015; 9: 99.[Akkardo Ch., Apolihina I.A., Odinokova V.A. Perineovaginal'ny'j lifting – novoe v lechenii genital'nogo prolapsa i seksual'ny'x rasstrojstv. Akusherstvo i ginekologiya/ 2015; 9: 99. (In Russian)]
- Зиганшин А.М., Кулавский В.А. Состояние мышц тазового дна у женщин, перенесших преждевременные роды. В кн.: Материалы республиканской научно-практической конференции «Инновационные технологии в охране репродуктивного здоровья женщины». Екатеринбург, 2007. C. 207-8. [Ziganshin A.M., Kulavskij V.A. Sostoyanie my'shcz tazovogo dna u zhenshhin, perenesshix prezhdevremenny'e rody'. V kn.: Materialy' respublikanskoj nauchno-prakticheskoj konferencii «Innovacionny'e texnologii v oxrane reproduktivnogo zdorov'ya zhenshhiny'». Ekaterinburg, 2007. P. 207-8.(In Russian)]
- Diez-Itza I., Arrue M., Ibañez L., Paredes J., Murgiondo A., Sarasqueta C. Influence of mode of delivery on pelvic organ support 6 months postpartum. Gynecol Obstet Invest. 2011; 72(2): 123-9.
- Maher C., Feiner B., Baessler K., Glazener C.M.A. Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews 2010, Issue 4. [DOI:10.1002/14651858.CD004014.pub4]
- Pelvic organ prolapse. Washington (DC): American College of Obstetricians and Gynecologists (ACOG); 2007 Sep. 13 p. (ACOG practice bulletin; no. 85). http://www.guideline.gov/
- Lakeman M.M., Laan E., Roovers J.P. The effects of prolapse surgery on vaginal wall sensibility, vaginal vasocongestion, and sexualfunction: a prospective single centre study. Neurourol Urodyn. 2014 Nov; 33(8): 1217-24.
- Lemack G.E., Zimmern P.E. Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology. 2000; 56(2): 223-227.
- Francis W.J., Jeffcoate T.N. Dyspareunia following vaginal operations. J Obstet Gynaecol Br Commonw. 1961 Feb; 68: 1-10. PMID: 13701244
- Weber A.M., Wlaters M.D., Schover L.R., Mitchison A. Vaginal anatomy and sexual function. Obstet. Gynecol. 1995; 86 (6): 946-9.
Received 21.05.2109
Accepted 21.06.2019
About the Authors
Kamil’ R. Bahtiyarov, MD, Professor, Professor of the Department of Obstetrics, Gynecology, and Perinatology of the Faculty of Medicine of I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); chief specialist, doctor of the highest category, curator of the direction «Obstetrics and Gynecology» «Klinika semejnaya» of LLC «Family Medical Centers Network». Phone: +7 (910) 440-30-39, E-mail: doctorbah@mail.ru119991 Russia, Moscow, ul. Trubetskaya, 8/2.
Anastasiia S. Shchukina, clinical resident GBUZ MO Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of Russia, Moscow, Russia.
101000 Russia, Moscow, ul. Pokrovka, d. 22.
Kristina Sh. Kalseidova, 6th year student of FGAOU VO First Moscow State Medical University named after THEM. Sechenova of the Ministry of Health of Russia, Moscow, Russia. 119991, Moscow, ul. Trubetskaya, 8/2.
For citation: Bakhtiyarov K.R., Shchukina A. S., Kalseidova K. Sh. Experience in the application of vaginal polydioxanone thread in miniperineoplasty for the treatment of the vaginal wall prolapse.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 9:135-38 (In Russian).
https://dx.doi.org/10.18565/aig.2019.9.135-138
Similar Articles
