Email this article Experience in surgical correction of genital prolapse caused by abdominoperineal operations for colon cancer in anamnesis
- Authors: Plekhanov A.N.1,2,3, Bezhenar V.F.1, Karachun A.M.4, Bezhenar F.V.2, Tsypurdeyeva A.A.5,6, Epifanova T.A.1,2
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Affiliations:
- Academician I.P. Pavlov First Saint Petersburg State Medical University
- Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
- Academy of Medical Education named after F.I. Inozemtsev
- N .N. Petrov National Medical Research Center of Oncology
- Saint Petersburg State University
- Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
- Issue: Vol 69, No 5 (2020)
- Pages: 87-97
- Section: Original study articles
- URL: https://journals.rcsi.science/jowd/article/view/56614
- DOI: https://doi.org/10.17816/JOWD69587-97
- ID: 56614
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Abstract
In recent studies, it has been established that extralevator abdominoperineal extirpation (ELAPE) of the rectum can improve the oncological results of treatment of distal rectal cancer compared to standard abdominoperineal extirpation. As a result of extralevator dissection, a large defect of the perineum is formed, which requires plastic closure. While performing ELAPE, the structures that form the pelvic diaphragm are affected. This increases the risk of pelvic organ prolapse in women and significantly affects the quality of life of these patients, which requires subsequent surgical treatment. Despite the fact that pelvic organ prolapse develops as a consequence of previous surgical treatment by an oncologist, they do not consider it as a complication in the long-term postoperative period. Such patients are not referred to the operating gynecologist. Currently, this problem is poorly understood and there are no standardized approaches to the surgical treatment of pelvic prolapse in this category of patients.
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##article.viewOnOriginalSite##About the authors
Andrey N. Plekhanov
Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences; Academy of Medical Education named after F.I. Inozemtsev
Author for correspondence.
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-5876-6119
SPIN-code: 1132-4360
MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Neonatology; Chief Obstetrician-Gynecologist; Head of the Department of Operative Gynecology. Academy of Medical Education named after F.I. Inozemtsev
Russian Federation, Saint PetersburgVitaly F. Bezhenar
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN-code: 8626-7555
MD, PhD, DSci (Medicine), Professor, Head of the Department of Obstetrics, Gynecology, and Neonatology
Russian Federation, Saint PetersburgAlexey M. Karachun
N .N. Petrov National Medical Research Center of Oncology
Email: dr.a.karachun@gmail.com
ORCID iD: 0000-0001-6641-7229
SPIN-code: 6088-9313
MD, PhD, DSci (Medicine), Associate Professor, Head of the Surgical Department of Abdominal Oncology, Leading Researcher, Head of the Scientific Department of Gastrointestinal Tract Tumors
Russian Federation, Saint PetersburgFyodor V. Bezhenar
Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0001-5515-8321
SPIN-code: 6074-5051
MD. The Surgical Department
Russian Federation, Saint PetersburgAnna A. Tsypurdeyeva
Saint Petersburg State University; Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0001-7774-2094
SPIN-code: 5208-9707
MD, PhD, Assistant Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences, the Faculty of Medicine; Head of the Department of Gynecology with the Operating Unit
Russian Federation, Saint PetersburgTatyana A. Epifanova
Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0003-1572-1719
SPIN-code: 5106-9715
MD, Post-Graduate Student The Department of Obstetrics, Gynecology, and Neonatology; Obstetrician-Gynecologist. The Surgical Department
Russian Federation, Saint PetersburgReferences
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