МЕТОД ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ РЕКТОЦЕЛЕ, СОЧЕТАННОГО С АПИКАЛЬНЫМ ПРОЛАПСОМ

Abstract

The aim of the study is to evaluate the effectiveness of the developed treatment method for rectocele combined with apical prolapse. Material and methods. The analysis of surgical corrections of pelvic prolapse in 321 patients who went into the Surgut Regional Clinical Hospital since 2013 (the beginning of the implementation of the operations) is performed. A prospective study included 40 patients with a combination of apical prolapse and rectocele divided into groups depending on the method of surgical correction. Eleven patients who received treatment with a new method of one-stage surgical correction represent the first (main) group. The second group (comparison) includes 29 patients with a combination of apical prolapse and rectocele operated without using the new technique. In the statistical processing of the data for quantitative variables, a complex of descriptive statistics is used: 1) quartile values – methods of nonparametric statistics Me (Q1–Q3); 2) comparison of average values in unrelated samples – the Mann–Whitney U test; 3) average values in dynamics in one sample – the Wilcoxon signedrank test; 4) statistical significance of differences in two different samples – the Fisher transformation. Results. The application of a one-stage surgical correction ensures satisfaction with the surgical intervention. Excellent anatomical results are achieved in the long-term period for ten patients (90.9%) and nine patients (81.8%) had a good functional result.