Сравнительная оценка хирургических методов лечения пролапса гениталий у женщин репродуктивного возраста лапароскопическим доступом

Abstract

An urgent problem at present is an increasing number of women of reproductive age with pelvic floor muscle failure. The purpose — to evaluate the results of organ-preserving surgical correction of genital prolapse in women of reproductive age. Material and methods. This article describes the results of observations in 17 patients of reproductive age with genital prolapse. All patients were assessed for gynecological, somatic status, as well as the severity of connective tissue dysplasia, sexual activity, and anamnesis. The women were divided into two groups: the first group underwent laparoscopic uteropromontopexy with suturing of sacro-uterine ligaments to promontory; the group underwent a two-level laparoscopic uteropromontopexy with suturing of sacro-uterine and cardinal ligaments to promontory. We evaluated both the immediate and long-term results of the correction. Results. The study confirmed that the two-level promontofixation should be considered the main method of surgical treatment of genital prolapse in women of reproductive age. Conclusion. Careful diagnosis in the preoperative period and the presence of connective tissue dysplasia allows one to predict the likelihood of a genital prolapse recurrence and choose a specific method of surgical correction.