akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLCakusherstvo-314Research ArticleGYNECOLOGYГИНЕКОЛОГИЯNEW POSSIBILITIES OF SURGICAL CORRECTION OF POP WITH USE OF SYNTHETIC IMPLANTS: WAYS OF PREVENTIVE POSTOPERATIVE COMPLICATIONSНОВЫЕ ВОЗМОЖНОСТИ ХИРУРГИЧЕСКОЙ КОРРЕКЦИИ ТАЗОВОГО ПРОЛАПСА С ИСПОЛЬЗОВАНИЕМ СИНТЕТИЧЕСКИХ ИМПЛАНТОВ: ПУТИ ПРОФИЛАКТИКИ ПОСЛЕОПЕРАЦИОНЫХ ОСЛОЖНЕНИЙБеженарьВ. Ф.BezhenarV. F.БогатыреваЕ. В.BogatyrevaE. V.ЦыпурдееваА. А.TscipurdeevaA. A.ЦуладзеЛ. К.TsculadzeL. K.РусинаЕ. И.RusinaE. I.ГусеваЕ. С.GusevaE. S.ФГБУ НИИ акушерства и гинекологии им. Д.О. Отта СЗОРАМН (Санкт-Петербург)РоссияD.O. Ott`s Research Institute of Obstetrics and Gynecology NWDRAMS, Saint-Petersburg, RussiaRussian FederationФГБУ «ФЦСКЭ им. В.А. Алмазова» МЗСР России ФСПЦ (Санкт-Петербург)РоссияFederal State-financed Establishment «V.A. Almazov’s Federal Center of Cor, Blood and Endocrinology», Federal Perinatal Center, Saint-Petersburg, RussiaRussian Federation20120609201662613Copyright © Bezhenar V.F., Bogatyreva E.V., Tscipurdeeva A.A., Tsculadze L.K., Rusina E.I., Guseva E.S., 20162016Беженарь В.Ф., Богатырева Е.В., Цыпурдеева А.А., Цуладзе Л.К., Русина Е.И., Гусева Е.С.Bezhenar V.F., Bogatyreva E.V., Tscipurdeeva A.A., Tsculadze L.K., Rusina E.I., Guseva E.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/314

Per-operative and post-operative complications of polypropylene mesh surgery with synthetic systems are characterized in this article. The methods of complications prevention and management are described.

В статье приведена характеристика интра- и послеоперационных осложнений, возникающих при коррекции пролапса тазовых органов у женщин с использованием синтетических имплантов (Prolift TM, Prolift™ + М, Prosima TM ETHICОN «Women’s Health & Urology» Johnson & Johnson Company, США). Описаны способы профилактики и устранения ряда осложнений.

системы ProliftTMProlift™ + МProsimaTМ для реконструкции тазового днаинтра- и послеоперационные осложнениядисбиоз влагалищаэрозии стенки влагалища«Полижинакс®»Prolift™ systemProlift™ +М systemProsimaTМ systemper-operative complicationspost-operative complicationsvaginal erosionsReferencesАйламазян Э.К. Возможности реконструктивно-пластических операций на тазовом дне с использование системы Prolift/В.Ф. Беженарь, Л.К. Цуладзе и др. Акушерство и женские болезни. 2007; т. LVII, спецвыпуск: 189-190. (Новые технологии в акушерстве и гинекологии: тез. докл. 3-й междунар. конф. СПб., 2007)Айламазян Э.К. Возможности реконструктивно-пластических операций на тазовом дне с использование системы Prolift/В.Ф. Беженарь, Л.К. Цуладзе и др. Акушерство и женские болезни. 2007; т. LVII, спецвыпуск: 189-190. (Новые технологии в акушерстве и гинекологии: тез. докл. 3-й междунар. конф. СПб., 2007)Богатырева Е.В. Особенности диагностики и результаты хирургического лечения ректоцеле при пролапсе тазовых органов у женщин. Автореф. дис.... канд. мед. наук./Е.В. Богатырева. Санкт-Петербург. 2010; 23 с.Богатырева Е.В. Особенности диагностики и результаты хирургического лечения ректоцеле при пролапсе тазовых органов у женщин. Автореф. дис.... канд. мед. наук./Е.В. Богатырева. Санкт-Петербург. 2010; 23 с.Громова О.А., Торшин И.Ю., Гарасько Е.А. Молекулярные механизмы разрушения бактериальных пленок при топическом применении аскорбиновой кислоты. Гинекология, 2010; 12: 6.Громова О.А., Торшин И.Ю., Гарасько Е.А. Молекулярные механизмы разрушения бактериальных пленок при топическом применении аскорбиновой кислоты. Гинекология, 2010; 12: 6.Громова О.А., Торшин И.Ю., Гарасько Е.А. Молекулярные механизмы топического назначения витамина С в лечении бактериального вагиноза. Акушерство и гинекология. 2010; 11: 37-42.Громова О.А., Торшин И.Ю., Гарасько Е.А. Молекулярные механизмы топического назначения витамина С в лечении бактериального вагиноза. Акушерство и гинекология. 2010; 11: 37-42.Краснопольский В.И. Вагинальная экстраперитонеальная кольпопексия (метод PROLIFT) -новый взгляд на хирургию опущения и выпадения внутренних половых органов/А.А. Попов. Акушерство и гинекология. 2007; 2; 51-55.Краснопольский В.И. Вагинальная экстраперитонеальная кольпопексия (метод PROLIFT) -новый взгляд на хирургию опущения и выпадения внутренних половых органов/А.А. Попов. Акушерство и гинекология. 2007; 2; 51-55.Altman D. Perioperative Morbidity Using Transvaginal Mesh in Pelvic Organ Prolapse Repair./Falconer Ch. for the Nordic Transvaginal Mesh Group. Obstetrics & Gynecology. 2007; Vol. 109. N 2. Part 1.Altman D. Perioperative Morbidity Using Transvaginal Mesh in Pelvic Organ Prolapse Repair./Falconer Ch. for the Nordic Transvaginal Mesh Group. Obstetrics & Gynecology. 2007; Vol. 109. N 2. Part 1.Anatomic study of prolapse surgery with nonanchored mesh and a vaginal support device/С. Reisenauer, T. Shiozawa, М. Huebner et al. American Journal of Obstetrics & Gynecology. 2010; aug.: 1е1-1е8.Anatomic study of prolapse surgery with nonanchored mesh and a vaginal support device/С. Reisenauer, T. Shiozawa, М. Huebner et al. American Journal of Obstetrics & Gynecology. 2010; aug.: 1е1-1е8.Early U.S. experience with vaginal extraperitoneal colpopexy using a polypropylene graft (Prolift) for the treatment of pelvic organ prolapse./M. Murphy, J. Rades, R. Haff, M. Yeager et al. Journal of pelvic medicine and surgery. 2006; March/April.Early U.S. experience with vaginal extraperitoneal colpopexy using a polypropylene graft (Prolift) for the treatment of pelvic organ prolapse./M. Murphy, J. Rades, R. Haff, M. Yeager et al. Journal of pelvic medicine and surgery. 2006; March/April.Eglin G. Transobturator subvesical mesh. Tolerance and short-term results of a 103 case continuous series./J.M. Ska, X. Serres. Gynecol Obstet Fertil. 2003; Vol. 31(1): 14-19.Eglin G. Transobturator subvesical mesh. Tolerance and short-term results of a 103 case continuous series./J.M. Ska, X. Serres. Gynecol Obstet Fertil. 2003; Vol. 31(1): 14-19.Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence/A.L. Olsen, V.J. Smith, J.O. Bergstrom et al. Obstet Gynecol. 1997; 89: 501-506.Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence/A.L. Olsen, V.J. Smith, J.O. Bergstrom et al. Obstet Gynecol. 1997; 89: 501-506.Falconer Ch. The use of mesh in prolapse surgery. Science and experience from Scandinavia. Annual Meeting of the Austrian Urogynecology Working Group. Austria-Graz, 14-15/XI 2008.Falconer Ch. The use of mesh in prolapse surgery. Science and experience from Scandinavia. Annual Meeting of the Austrian Urogynecology Working Group. Austria-Graz, 14-15/XI 2008.Han H. The use of Prolift in the surgical treatment of pelvic organ prolapse./T. Manchana, Lee. Abstract International Continence Society congress, Rotterdam. August 2007.Han H. The use of Prolift in the surgical treatment of pelvic organ prolapse./T. Manchana, Lee. Abstract International Continence Society congress, Rotterdam. August 2007.Neuman M. Advanced mesh implants for vaginal pelvic floor reconstruction: report of 150 Prolift operations./M. Friedman. Abstract International Urogynecological Association Congress. Cancun. June 2006.Neuman M. Advanced mesh implants for vaginal pelvic floor reconstruction: report of 150 Prolift operations./M. Friedman. Abstract International Urogynecological Association Congress. Cancun. June 2006.One-year clinical outcomes after prolapse surgery with nonanchored mesh and vaginal support device/M. Halina, M.D. Zyczynski, P. Marcus et al. American Journal of Obstetrics & Gynecology. 2010; р.1е1-1е8.One-year clinical outcomes after prolapse surgery with nonanchored mesh and vaginal support device/M. Halina, M.D. Zyczynski, P. Marcus et al. American Journal of Obstetrics & Gynecology. 2010; р.1е1-1е8.Perioperative outcomes of tension free vaginal mesh procedures following introduction to a teaching service/M. Alperin, R. Ellison, G. Sutkin, P.A. Moalli et al. Abstract AUGS meeting 2007. Journal of Pelvic Medicine & Surgery. 2007; Vol. 13 (5). 308 p.Perioperative outcomes of tension free vaginal mesh procedures following introduction to a teaching service/M. Alperin, R. Ellison, G. Sutkin, P.A. Moalli et al. Abstract AUGS meeting 2007. Journal of Pelvic Medicine & Surgery. 2007; Vol. 13 (5). 308 p.Reisenauer C. Anatomical conditions for pelvic floor reconstruction with polyproylene implant and its application for the treatment of vaginal prolapse/A. Krischniak, U. Drews, D. Wallwiener. European Journal of Obstetrics & Gynecology and reproductive Biology. 2007; 131: 214-225.Reisenauer C. Anatomical conditions for pelvic floor reconstruction with polyproylene implant and its application for the treatment of vaginal prolapse/A. Krischniak, U. Drews, D. Wallwiener. European Journal of Obstetrics & Gynecology and reproductive Biology. 2007; 131: 214-225.Risk factors for mesh erosion after transvaginal surgery usingpolypropylene (Atrium) or composite polypropylene/polyglactin 910 (Vypro II) mesh./Ch. Achtari, R. Hiscock, B. O’Reilly, L. Dwyer et al. Int Urogynecol J. 2005; 16: 389-394.Risk factors for mesh erosion after transvaginal surgery usingpolypropylene (Atrium) or composite polypropylene/polyglactin 910 (Vypro II) mesh./Ch. Achtari, R. Hiscock, B. O’Reilly, L. Dwyer et al. Int Urogynecol J. 2005; 16: 389-394.Sexual dysfunction after trocar guided transvaginal mesh repair of pelvic organ prolapse/D. Altman, Ch. Falconer, I. Kiilhoma, L. Kinne. Obstet Gynecol. 2009; Vol. 113 (1): 127-33.Sexual dysfunction after trocar guided transvaginal mesh repair of pelvic organ prolapse/D. Altman, Ch. Falconer, I. Kiilhoma, L. Kinne. Obstet Gynecol. 2009; Vol. 113 (1): 127-33.Tolerance of synthetic tissues and vaginal surgery. Report of 287 cases./P. Debodinance, M. Cosson, G. Burlet, J.B. Engrand et al. J. Gynecol. Obstet. Biol. Reprod. 1999; Vol. 28 (3): 216-220.Tolerance of synthetic tissues and vaginal surgery. Report of 287 cases./P. Debodinance, M. Cosson, G. Burlet, J.B. Engrand et al. J. Gynecol. Obstet. Biol. Reprod. 1999; Vol. 28 (3): 216-220.Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors./P. Collinet, F. Belot, Ph. Debodinance, Ha Duc E. et al. International Urogynecology journal. 2006; 17: 315-320.Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors./P. Collinet, F. Belot, Ph. Debodinance, Ha Duc E. et al. International Urogynecology journal. 2006; 17: 315-320.Transvaginal mesh repair of pelvic organ prolapse: short term outcomes from a prospective multicenter study./D. Altman, T. Vairynen, Engh M. Ellstrom, C. Falconer et al. Abstract International Continence Society congress, Rotterdam. August 2007.Transvaginal mesh repair of pelvic organ prolapse: short term outcomes from a prospective multicenter study./D. Altman, T. Vairynen, Engh M. Ellstrom, C. Falconer et al. Abstract International Continence Society congress, Rotterdam. August 2007.Transvaginal mesh repair of pelvic organ prolapse with Prolift technique: one year outcomes./B. Fatton, C. Boda, P. Debodinance. J. Amblard et al. Abstract International Urogynecological Association Congress. Cancun. June 2006.Transvaginal mesh repair of pelvic organ prolapse with Prolift technique: one year outcomes./B. Fatton, C. Boda, P. Debodinance. J. Amblard et al. Abstract International Urogynecological Association Congress. Cancun. June 2006.Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique) -a case series multicentric study/B. Fatton, J. Amblard, P. Debodinance, M. Cosson et al. International Urogynecology journal. September 2006.Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique) -a case series multicentric study/B. Fatton, J. Amblard, P. Debodinance, M. Cosson et al. International Urogynecology journal. September 2006.

The authors declare that there are no conflicts of interest present.