Email this article Bilateral transobturator hysterosuspension using titanium tape-shaped mesh implants in women with apical prolapse of the internal genitalia
- Authors: Ishchenko A.I.1, Ishchenko A.A.1, Khokhlova I.D.1, Dzhibladze T.A.1, Komarova A.D.1, Alexandrov L.S.1, Svidinskaya E.A.1, Gorbenko O.Y.1, Chushkov Y.V.1, Malyuta E.G.1, Moskvicheva A.P.1, Koryagina A.D.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University
- Issue: Vol 11, No 3 (2024)
- Pages: 332-341
- Section: Original study articles
- Submitted: 15.03.2024
- Accepted: 17.06.2024
- Published: 07.10.2024
- URL: https://archivog.com/2313-8726/article/view/629148
- DOI: https://doi.org/10.17816/aog629148
- ID: 629148
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Abstract
BACKGROUND: Pelvic organ prolapse is a common pathology with several relapses of the disease after surgical treatment using exclusively self-tissues, which necessitates the development of new surgical techniques using durable and biological inert materials.
AIM: To evaluate the effectiveness and safety of an original surgical technique for apical prolapse correction in patients of reproductive and pre- and postmenopausal age.
MATERIAL AND METHODS: Twenty-nine patients were examined and operated on using a developed original technique with the use of narrow tape-shaped titanium mesh implants.
RESULTS: Follow-up was conducted at 1, 6, 12, and 24 months postoperatively. Comparison of patient survey indicators in the pre- and postoperative periods showed an improvement in the patients’ quality of life and an increase in their social and sexual activity. During the first month, 15 (51.7%) patients reported intermittent pulling pains in the perineal and/or inguinal–femoral folds, and 4 (13.8%) reported frequent urination. Clinical examination revealed complete preservation of the surgical correction of prolapse in all patients. Gynecological and rectal examinations and transperineal and transvaginal echography did not show displacement of pelvic organs or titanium implants. Mesh-associated complications were not noted during the observation period.
CONCLUSION: The developed original technique for surgical correction of second-degree apical prolapse with the use of narrow ribbon-shaped titanium mesh implants is effective and safe. This is evidenced by the normalization of the uterus position in the pelvis, absence of displacement of pelvic organs in the near and distant postoperative periods, and absence of mesh-associated complications during the observation time.
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About the authors
Anatoly I. Ishchenko
I.M. Sechenov First Moscow State Medical University
Email: 7205502@mail.ru
ORCID iD: 0000-0001-5733-953X
SPIN-code: 3294-3251
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowAnton A. Ishchenko
I.M. Sechenov First Moscow State Medical University
Email: ra2001_2001@mail.ru
ORCID iD: 0000-0002-4476-4972
SPIN-code: 2306-4571
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowIrina D. Khokhlova
I.M. Sechenov First Moscow State Medical University
Author for correspondence.
Email: irhohlova5@gmail.com
ORCID iD: 0000-0001-8547-6750
SPIN-code: 6858-5235
MD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, MoscowTea A. Dzhibladze
I.M. Sechenov First Moscow State Medical University
Email: djiba@bk.ru
ORCID iD: 0000-0003-1540-5628
SPIN-code: 5688-1084
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowAnna D. Komarova
I.M. Sechenov First Moscow State Medical University
Email: dr.komarova7@gmail.com
ORCID iD: 0000-0001-5399-7586
SPIN-code: 6153-0573
Postgraduate Student
Russian Federation, MoscowLeonid S. Alexandrov
I.M. Sechenov First Moscow State Medical University
Email: aleksandrov.leonid@lenta.ru
ORCID iD: 0000-0002-7601-3532
SPIN-code: 2738-9662
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowEvgenia A. Svidinskaya
I.M. Sechenov First Moscow State Medical University
Email: svidinskaya@gmail.com
ORCID iD: 0000-0002-2368-1932
SPIN-code: 3002-6388
MD, Cand. Sci. (Medicine), Assistant Lecturer
Russian Federation, MoscowOksana Y. Gorbenko
I.M. Sechenov First Moscow State Medical University
Email: go2601@mail.ru
ORCID iD: 0000-0002-3435-4590
SPIN-code: 8725-1419
MD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, MoscowYuri V. Chushkov
I.M. Sechenov First Moscow State Medical University
Email: obstetrics-gynecology@list.ru
ORCID iD: 0000-0001-8125-1829
SPIN-code: 6066-9273
MD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, MoscowElena G. Malyuta
I.M. Sechenov First Moscow State Medical University
Email: egma@list.ru
ORCID iD: 0000-0003-0098-0830
SPIN-code: 8722-6108
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowAnastasia P. Moskvicheva
I.M. Sechenov First Moscow State Medical University
Email: 09-19@rambler.ru
ORCID iD: 0000-0003-1763-4205
SPIN-code: 7718-1076
Graduate Student
Russian Federation, MoscowAnna D. Koryagina
I.M. Sechenov First Moscow State Medical University
Email: anik1999@mail.ru
ORCID iD: 0009-0005-3628-971X
SPIN-code: 1713-2153
Clinical Resident
Russian Federation, MoscowReferences
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