An original method of surgical correction of enterocele using a titanium implant with transobturator-sacrospinal fixation
- Authors: Ishchenko A.I.1, Kazantsev A.A.2, Ishchenko A.A.3, Khokhlova I.D.1, Dzhibladze T.A.1, Gorbenko O.Y.1, Chushkov Y.V.1, Gadaeva I.V.1, Komarova A.D.1, Ozdemir A.G.1, Moskvicheva A.P.1
-
Affiliations:
- I.M. Sechenov First Moscow State Medical University
- Scientific and Clinical Center No. 2 of the Russian Scientific Center of Surgery named after Academician B.V. Petrovsky (Central Clinical Hospital)
- National Medical Research Center "Treatment and Rehabilitation Center"
- Issue: Vol 11, No 2 (2024)
- Pages: 159-168
- Section: Original study articles
- URL: https://journals.rcsi.science/2313-8726/article/view/260544
- DOI: https://doi.org/10.17816/aog626388
- ID: 260544
Cite item
Abstract
AIM: This study aimed to optimize the outcomes of surgical treatment of enterocele using the original model of “titanium silk” mesh implants with their transobturator-sacrospinal fixation.
MATERIALS AND METHODS: A comprehensive clinical examination and surgical treatment of 22 patients aged 53–68 years with enterocele who had undergone surgical interventions for various forms of POP, were conducted. All patients underwent surgery using the surgical technique developed for enterocele correction using an original “titanium silk” mesh implant model with transobturator-sacrospinal fastening. Outpatient monitoring of patients in the early and delayed postoperative periods was carried out after 1, 6, 12, and 24 months.
RESULTS: During dynamic follow-up, patients were satisfied with the results of the surgical treatment, POP symptoms were stable, and no signs of relapse and mesh-associated complications were observed.
CONCLUSION: The study confirmed the effectiveness and safety of a new surgical technique for enterocele correction using an original model of a mesh implant “titanium silk” with transobturator-sacrospinal fixation in patients with enterocele who had undergone surgery in the past for various forms of POP. However, further research in this direction is needed.
Full Text
##article.viewOnOriginalSite##About the authors
Anatoliy I. Ishchenko
I.M. Sechenov First Moscow State Medical University
Email: 7205502@mail.ru
ORCID iD: 0000-0001-5733-953X
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowAnton A. Kazantsev
Scientific and Clinical Center No. 2 of the Russian Scientific Center of Surgery named after Academician B.V. Petrovsky (Central Clinical Hospital)
Email: kaa7171@mail.ru
ORCID iD: 0000-0001-7922-2033
research associate
Russian Federation, MoscowAnton A. Ishchenko
National Medical Research Center "Treatment and Rehabilitation Center"
Email: ra2001_2001@mail.ru
ORCID iD: 0000-0002-4476-4972
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
MD, Cand. Sci. (Medicine), Assistant Professor
Russian Federation, MoscowTea A. Dzhibladze
I.M. Sechenov First Moscow State Medical University
Email: djiba@bk.ru
ORCID iD: 0000-0003-1540-5628
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowOksana Y. Gorbenko
I.M. Sechenov First Moscow State Medical University
Email: go2601@mail.ru
ORCID iD: 0000-0002-3435-4590
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowYury V. Chushkov
I.M. Sechenov First Moscow State Medical University
Email: obstetrics-gynecology@list.ru
ORCID iD: 0000-0001-8125-1829
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowIrina V. Gadaeva
I.M. Sechenov First Moscow State Medical University
Email: irina090765@gmail.com
ORCID iD: 0000-0003-0144-4984
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowAnna D. Komarova
I.M. Sechenov First Moscow State Medical University
Email: dr.komarova7@gmail.com
ORCID iD: 0000-0001-5399-7586
graduate student
Russian Federation, MoscowAdelina G. Ozdemir
I.M. Sechenov First Moscow State Medical University
Email: Adelina.ozdemir00@gmail.com
ORCID iD: 0009-0000-8753-8433
student
Russian Federation, MoscowAnastasiia P. Moskvicheva
I.M. Sechenov First Moscow State Medical University
Email: 09-19@rambler.ru
ORCID iD: 0000-0003-1763-4205
graduate student
Russian Federation, MoscowReferences
- Ischenko АА, Аleksandrov LS, Hokhlova ID, et al. A New Method of Surgical Enterocele Correction Using Mesh Implants. Sovremennye tehnologii v medicine. 2017;9(3):77–81. doi: 10.17691/stm2017.9.3.10
- Perov YV, Popova IS, Bykov AV. Enterocele. Novosti Khirurgii. 2020;28(4):439–448. doi: 10.18484/2305-0047.2020.4.439
- Buianova SN, Shchukina NA, Zubova ES, Sibryaeva VA, Rizhinashvili ID. Genital prolapse. Russian Bulletin of Obstetrician-Gynecologist. 2017;17(1):37–45. doi: 10.17116/rosakush201717137-45
- The Russian Society of Obstetricians and Gynecologists, the All-Russian public organization "Russian Society of Urologists". Clinical recommendations "Prolapse of female genital organs". Approved by the Ministry of Health of the Russian Federation. Moscow; 2021. (In Russ.)
- Strizhakov AN, Kosachenko AG, Davydov AI. Genital hernias. The current state of the problem. Gynecology, Obstetrics and Perinatology. 2016;15(1):58–64. doi: 10.20953/1726-1678-2016-1-58-64
- Ishchenko AI, Shulchina IV, Ishchenko AA, Zhumanova EN, Gorbenko OYu. Mesh-associated complications. Risk factors. V.F. Snegirev Archives of Obstetrics and Gynecology. 2014;1(2):4–7. (In Russ.)
- Barinova EK, Aryutin DG, Ordiyants EG, et al. Mesh-associated complications in gynecology. Obstetrics and Gynecology: News, Opinions, Training. 2021;9(3 suppl.):102–107. doi: 10.33029/2303-9698-2021-9-3suppl-102-107
- Patent RUS № 2597409 C2/ 10.09.16. Byul. № 25. Ishshenko AI, Ishshenko AA, Gorbenko OYu, Kolgaeva DI. Method for surgical treatment of vaginal enterocele, rectocele. Available from: https://yandex.ru/patents/doc/RU2597409C2_20160910?ysclid=luzweguvej920008178 (In Russ.) EDN: TLOONL
- Roos EJ, Schuit E. Timing of recurrence after surgery in pelvic organ prolapsed. Int Urogynecol J. 2021;32(8):2169–2176. doi: 10.1007/s00192-021-04754-6
- Ward RM, Velez Edwards DR, Edwards T, et al. Genetic epidemiology of pelvic organ prolapse: a systematic review. Am J Obstet Gynecol. 2014;211(4):326–335. doi: 10.1016/j.ajog.2014.04.006
- Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214. Obstet Gynecol. 2019;134(5):e126–e142. doi: 10.1097/AOG.0000000000003519
- Guzman-Negron JM, Fascelli M, Vasavada SP. Posterior Vaginal Wall Prolapse: Suture-Based Repair. Urol Clin North Am. 2019;46(1):79–85. doi: 10.1016/j.ucl.2018.08.007
- Milani R, Manodoro S, Cola A, et al. Transvaginal native-tissue repair of enterocele. Int Urogynecol J. 2018;29(11):1705–1707. doi: 10.1007/s00192-018-3686-3
- Khitaryan AG, Miziev IA, Dul’erov KA, Pogosyan AA, Provotorov ME. The tactics of surgical reconstruction of the pelvic floor in women with rear prolapse of pelvic organs. Russian Journal of Surgery. 2013;(1):31–36.
- Ahmad M, Sileri P, Franceschilli L, Mercer-Jones M. The role of biologics in pelvic floor surgery. Colorectal Dis. 2012;14 Suppl.3:19–23. doi: 10.1111/codi.12045
Supplementary files
