V.F.Snegirev Archives of Obstetrics and GynecologyV.F.Snegirev Archives of Obstetrics and Gynecology2313-87262687-1386Eco-Vector35470Research ArticleCorrection of pelvic floor defects by trocar-free synthetic systemsMakarovO. Vprofmakarov@mail.ruKamoevaS. Ksv02016@yandex.ruLobodaT. Itanyal20@mail.ruPirogov Russian Research National Medical University1509201411252821072020Copyright © 2014, Eco-Vector2014Elevate transvaginal system was used for surgical correction of the pelvic floor defects in 156 patients with the pelvic organ prolapse. Intraoperative blood loss of more than 500 ml was recorded in 15 (9.4%) patients. Two cases with negligible (no more than 10-15 mm 3) hematomas of Retzius ’ space and paraurethral zone were recorded. No complications, such as vaginal erosion, extrusion of mesh implant, painful syndrome, dyspareunia were recorded over the period of observation. No intraoperative complications were recorded. Three (1.9%) patients developed relapses (elongation of the uterine cervix and cervix stump). The long-term (3 years) anatomic (objective) efficiency of pelvic organ prolapse correction in our study reached 92.1%. The functional efficiency of Elevate transvaginal system anterior was 94.6%. The results indicated that in cases with the cervix uteri or cervix uteri stump elongation they were to be resected or amputated when implanting the Elevate anterior system.pelvic organ prolapsepelvic floor dysfunctioncervix uteri elongationElevate anterior transvaginal systemпролапс тазовых органовдисфункция тазового днаэлонгация шейки маткитрансвагинальная система Элевейт передний[Shah D.K., Paul E.M., Rastinehad A.R., Eisenberg E.R., Badlani G.H. Short-term outcome analysis of total pelvic reconstruction with mesh: the vaginal approach. J. Urol. 2004; 171 (1): 261-3.][Sze E.N., Hobbs G. Relation between vaginal birth and pelvic organ prolapsed. Acta Obstet. Gynecol. Scand. 2009; 88 (2): 200-3.][Carey M., Higgs P., Goh J., Lim J., Leong A., Krause H. et al. Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. Br. J. Obstet. Gynaecol. 2009; 116 (10):1380-6.][Maher C., Feiner B., Baessler K., Glazener C.M.A. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst. Rev. 2010; (4). Art. No.:CD004014. doi:10.1002/14651858.CD004014.pub4.][Read R.C. Signs of herniosis in women with vaginal prolapse and/or stress incontinence. Hernia. 2008; 12: 449-52.][Summers A., Winkel L.A., Hussain H.K., DeLancey J.O.L. The relationship between anterior and apical compartment support. Am. J. Obstet. Gynecol. 2006; 194: 1438-43.][Tegerstedt G., Miedel A., Maehle-Schmidt M., Nyren O., Hammarstrom M. Obstetric risk factors for symptomatic prolapse: a population-based approach. Am. J. Obstet. Gynecol. 2006; 194 (4): 73-81.][Попов А.А., Петрова В.Д., Шагинян Г.Г., Мананникова Т.Н., Рамазанов М.Р., Федоров А.А. и др. Сравнительная оценка результатов лапароскопической сакровагинопексии и вагинальной экстраперитонеальной вагинопексии (PROLIFT) в лечении генитального пролапса. Журнал акушерства и женских болезней. 2006; Спецвыпуск: 83.][Салимова Л.Я., Радзинский В.Е., Шалаев О.Н., Озова М.М., Войташевский К.В., Васильева Т.Б. и др. Выбор метода экстраперитонеального неофасциогенеза при хирургическом лечении пролапса тазовых органов. В кн.: Материалы IX Всероссийского научного форума «Технологии XXI века в гинекологии», Москва, 9-12 июня 2008 г. М.; 2008.][Lowman J.K., Jones L.A., Woodman P.J., Hale D.S. Does the Prolift system cause dyspareunia? Am. J. Obstet. Gynecol. 2008; 199 (6): S707-712.][Barber M.D., Janz N., Kenton K., Hsu Y., Greer W.J., Dyer K. et al. Validation of the surgical pain scales in women undergoing pelvic reconstructive surgery. Female Pelvic Med Reconstr. Surg. 2012; 18(4): S198-204.][Вон Теобалд П. Как предупредить эрозирование сетки. Пер. с англ. Проблемы репродукции. Специальный выпуск «Технологии 21 века в гинекологии». 2008; 131-2.]