Medicina v Kuzbasse (Apr 2021)
ESTIMATE THE EFFICIENCY OF TWO TECHNICS OF THE OPERATIONS WITH POLYPROPYLENE IMPLANTS FOR ANTERIOR PELVIC ORGANS PROLAPSE BY WOMEN
Abstract
Аim of research – to estimate the efficiency of two technics of the operations with polypropylene implants for anterior pelvic organs prolapse by women with classification POP-Q and ultrasonic method. Material and methods. It has been done the estimate of efficiency of two technics of transvaginal plastic with polypropylene implants in 3 and 12 months after operation with POP-Q classification and ultrasonic method by patients with isolated anterior pelvic organs prolapse II rate. Conclusion. More than 90 % patients of comparison groups have got in 12 months after operation positive result. Offered in research copyright transversal access on cervix uteri and copyright implant’s shape with two arms do not yield the classic vertical access on anterior vagina’s wall with 4-arms implant and allows to decrease the operation time and traumatization of obturator membrane and vagina’s mucous, so decrease obturator pain and erosion. However, it will be able to develop cervix uteri’s hypertrophy or rectocele after cystocele’s plastic. Ultrasonic method allows defining the indications for performance simultaneously for suturing of lavatory anus or amputation of cervix uteri, which could be done by copyright transversal access on cervix uteri.