An original method of surgical correction of enterocele using a titanium implant with transobturator-sacrospinal fixation

Abstract

Aim: to optimize the results 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 to 68 years for enterocele, who had previously undergone surgical interventions for various forms of POP, were carried out. All patients underwent a developed surgical technique 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 1–6–12–24 months. Results: during dynamic follow-up, patients were satisfied with the results of surgical treatment, stable leveling of POP symptoms, and no signs of relapse and mesh-associated complications. Conclusion: the study showed the effectiveness and safety of a new developed surgical technique for correction of enterocele 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, which indicates the need for further research in this direction.