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.
Highlights
«Санкт-Петербургская клиническая больница Российской академии наук», Санкт-Петербург; 3 Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр онкологии имени Н.Н
Experience in surgical correction of genital prolapse caused by abdominoperineal operations for colon cancer in anamnesis
■■ 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
Summary
■■ 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. 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. В ряде исследований последних лет показано, что ЭлБПЭ позволяет улучшить онкологические результаты лечения рака прямой кишки дистальных локализаций по сравнению со стандартной БПЭ. Образовавшегося после ЭлБПЭ дефекта промежности предложен ряд методик. Следующий вариант закрытия дефекта тазового дна — использование синтетических или биологических тканей. В результате после выполнения ЭлБПЭ повышается риск возникновения пролапса тазовых органов у женщин, что значительно влияет на качество жизни и приводит к необходимости последующего хирургического лечения. Представленная тема практически не освещена в современной медицинской литературе, поэтому задача исследования состояла в изучении вышеизложенной проблематики и создании алгоритма хирургического лечения пациенток, перенесших ЭлБПЭ и столкнувшихся с проблемой пролапса тазовых органов
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
