Correction of pelvic floor defects by trocar-free synthetic systems

Abstract

Elevate transvaginal system was used for surgical correction of the pelvic floor defects in 156 patients with the pelvic organ prolapse. Intraoperative blood loss of more than 500 ml was recorded in 15 (9.4%) patients. Two cases with negligible (no more than 10-15 mm 3) hematomas of Retzius ’ space and paraurethral zone were recorded. No complications, such as vaginal erosion, extrusion of mesh implant, painful syndrome, dyspareunia were recorded over the period of observation. No intraoperative complications were recorded. Three (1.9%) patients developed relapses (elongation of the uterine cervix and cervix stump). The long-term (3 years) anatomic (objective) efficiency of pelvic organ prolapse correction in our study reached 92.1%. The functional efficiency of Elevate transvaginal system anterior was 94.6%. The results indicated that in cases with the cervix uteri or cervix uteri stump elongation they were to be resected or amputated when implanting the Elevate anterior system.

Keywords

pelvic organ prolapse / pelvic floor dysfunction / cervix uteri elongation / Elevate anterior transvaginal system

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