Актуальные аспекты хирургического лечения пролапса тазовых органов (обзор)
Рубрика: Акушерство и гинекология Тип статьи: Обзор
Авторы: Салпагарова Ф.Х.-М., Аксененко В.А.
Организация: ФГБОУ ВО «Ставропольский ГМУ» Минздрава России
Цель: сравнительный анализ используемых методов хирургического лечения пролапса тазовых органов. Методика написания обзора. Обзор проведен в соответствии с рекомендациями PRISMA (Preferred reporting items for systematic reviews and meta-analyses — «Предпочтительные элементы отчетности для систематических обзоров и метаанализов»). Выполнен поиск и анализ статей, опубликованных в научных базах е-Library, PubMed, Google Scholar за период с 2015 по 2023 г. После исключения публикаций, не соответствующих поиску, для анализа отобрано 50 статей. Заключение. Согласно выполненному исследованию каждый из применяемых в настоящее время методов хирургического лечения пролапса тазовых органов имеет свои преимущества и недостатки, что позволяет в каждом конкретном случае подобрать оптимальный вариант оперативного вмешательства. Определяющими при выборе хирургического вмешательства являются следующие факторы: возраст пациентки, наличие у нее коморбидных патологий, включая доброкачественные новообразования, планирование или непланирование беременности в будущем.
Литература:
1. Horng НС, Lee FK, Wang PH. Pelvic organ prolapse. J Chin Med Assoc. 2018; 81 (5): 387-9. DOI: 10.1016/j.jcma. 2017.11.001
2. Sun MJ, Cheng YS, Liu CS, Sun R. Changes in the PGC-1 a and mtDNA copy number may play a role in the development of pelvic organ prolapse in pre-menopausal patients. Taiwan J Obstet Gynecol. 2019; 58 (4): 526-30. DOI: 10.1016/j.tjog. 2019.05.017
3. Выпадение женских половых органов. Клинические рекомендации. М., 2021.
4. Chang СР, Horng НС, Wang PH. Complete and thorough evaluation is critical for the initiation of surgery in the management of women with pelvic floor disorders. J Chin Med Assoc. 2018; 81 (10): 851-2. DOI: 10.1016/j.jcma.2018.03.001
5. Carberry CL, Tulikangas PK, Ridgeway BM, et al.; American Urogynecologic Society Best Practice Statement. Evaluation and counseling of patients with pelvic organ prolapse. Female Pelvic Med Reconstr Surg. 2017; 23 (5): 281-7. DOI: 10.1097/SPV.0000000000000424
6. Ugianskiene A, Davila GW, Su TH, et al. FIGO review of statements on use of synthetic mesh for pelvic organ prolapse and stress urinary incontinence. Int J Gynaecol Obstet. 2019; 147 (2):147-55. DOI: 10.1002/ijgo.12932
7. Transvaginal mesh repair of anterior or posterior vaginal wall prolapse. Interventional procedures guidance. URL: http://www.nice.org.uk/guidance/ipg599 (01 Dec 2023).
8. Bilateral cervicosacropexy (CESA) or vaginosacropexy (VASA) using mesh for pelvic organ prolapse. Interventional procedures guidance. 2020. URL: http://www.nice.org.uk/guid-ance/ipg669 (01 Dec 2023).
9. Infracoccygeal sacropexy using mesh to repair uterine prolapse. Interventional procedures guidance. URL: http:// www.nice.org.uk/guidance/ipg582 (01 Dec 2023).
10. Laparoscopic mesh pectopexy for apical prolapse of the uterus or vagina. Interventional procedures guidance. URL: http://www.nice.org.uk/guidance/ipg608 (01 Dec 2023).
11. Glazener CM, Breeman S, Elders A, etal. Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: Two parallel-group, multicentre, randomised, controlled trials (PROSPECT). Lancet. 2017; 389 (10067): 381-92. DOI: 10.1016/S0140-6736(16) 31596-3
12. Weintraub AY, Friedman T, Baumfeld Y, et al. Long term subjective cure rate, urinary tract symptoms and dyspareunia following mesh augmented anterior vaginal wall prolapse repair. Int J Surg. 2015; 24 (Pt A): 33-8. DOI: 10.1016/j.ijsu.2015.10.027
13. Husch T, Mager R, Ober E, et al. Quality of life in women of non-reproductive age with transvaginal mesh repair for pelvic organ prolapse: A cohort study. Int J Surg. 2016; 33(PtA): 36-41. DOI: 10.1016/j.ijsu.2016.07.062
14. Chin HY, Chen HH, Chen CH, et al. Improvement of overactive bladder symptoms: Is correction of the paravaginal defect in anterior vaginal wall prolapse necessary? J Chin Med Assoc. 2018; 81 (10): 892-7. DOI: 10.1016/j.jcma.2017.11.013
15. Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse Interventional procedures guidance. URL: http:// www.nice.org.uk/guidance/ipg577 (01 Dec 2023).
16. Li S, Ji M, Zhao X, et al. Long-term outcomes of pelvic organ prolapse by laparoscopic butterfly suspension. J Gynecol Obstetrics. 2018; 6 (3): 67-70. DOI: 10.11648/j.jgo.20180603.15
17. Dai Z, Li C, Wang X, et al. A new laparoscopic technique of inguinal ligament suspension for vaginal vault prolapse. Int J Surg. 2017; (43): 131-6. DOI: 10.1016/j.ijsu.2017.05.071
18. Hansen UD, Gradel КО, Larsen MD. Danish urogynaecological database. Clin Epidemiol. 2016; (8): 709-12. DOI: 10.2147/CLEPS99511
19. Krissi H, Aviram A, Eitan R, et al. Risk factors for recurrence after Le Fort colpocleisis for severe pelvic organ prolapse in elderly women. Int J Surg. 2015; (20): 75-9. DOI: 10.1016/j. ijsu.2015.06.026
20. Cho MK, Moon JH, Kim CH. Factors associated with recurrence after colpocleisis for pelvic organ prolapse in elderly women. Int J Surg. 2017; 44: 274-7.
21. Park JY, Han SJ, Kim JH, et al. Le Fort partial colpocleisis as an effective treatment option for advanced apical prolapse in elderly women. Taiwan J Obstet Gynecol. 2019; 58 (2): 206-11.
22. Miller KL, Richter HE, Graybill CS, et al. Fall risk and function in older women after gynecologic surgery. Arch Gerontol Geriatr. 2017; (73): 37-42. DOI: 10.1016/j.archger.2017.07.006
23. Su H, Huang L, Han CM, et al. Natural orifice transluminal endoscopic surgery (NOTES) subtotal hysterectomy: A feasibility study. Taiwan J Obstet Gynecol. 2018; 57 (3): 355-9. DOI: 10.1016/j.tjog.2018.04.005
24. Lin YH, Hsieh WC, Huang L, Liang CO Effect of non-ablative laser treatment on overactive bladder symptoms, urinary incontinence and sexual function in women with urodynamic stress incontinence. Taiwan J Obstet Gynecol. 2017; 56 (6): 815-20. DOI: 10.1016/j.tjog.2017.10.020
25. Elective Female Genital Cosmetic Surgery: ACOG Committee Opinion, Number 795. Obstet Gynecol. 2020; 135 (1): e36-42. DOI: 10.1097/AOG.0000000000003616
26. Lindo FM, Carr ES, Reyes M, et al. Randomized trial of cesarean vs vaginal delivery for effects on the pelvic floor in squirrel monkeys. Am J Obstet Gynecol. 2015; 213(5): 1-8. DOI: 10.1016/j.ajog.2015.09.003
27. Maher C, Baessler K, Glazener CM, et al. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2004; (4): CD004014. DOI: 10.1002/14651858. CD004014.pub2
28. Handa VL, Blomquist JL, Roem J, et al. Pelvic floor disorders after obstetric avulsion of the levator ani muscle. Female Pelvic Med Reconstr Surg. 2019; 25(1): 3-7. DOI: 10.1097/SPV. 0000000000000644
29. Alujevic Jakus I, Jakus D, Marinovic J, et al. Expression of mitochondrial respiratory chain complexes in the vaginal wall in postmenopausal women with pelvic organ prolapse. Gynecol Obstet Invest. 2018; 83 (5): 487-92. DOI: 10.1159/000480236
30. TillackAA, Joe BN, Yeh BM, et al. Vaginal shape at resting pelvic MRI: Predictor of pelvic floor weakness? Clin Imaging. 2015; 39 (2): 285-8. DOI: 10.1016/j.clinimag.2014.10.007
31. Lin YH, Chang SD, Hsieh WC, et al. Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: An observational cohort study. Taiwan J Obstet Gynecol. 2018; 57(3): 340-5. DOI: 10.1016/j.tjog.2018.04.003
32. Hadizadeh-Talasaz Z, Sadeghi R, Khadivzadeh T. Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials. Taiwan J Obstet Gynecol. 2019; 58 (6): 737-47. DOI: 10.1016/j.tjog.2019.09.003
33. Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2020; 5 (5): CD007471. DOI: 10.1002/14651858. CD007471.pub4
34. Lo TS, Dass AK, Chen CK, et al. Spontaneous pregnancy after pessary placement in a patient with infertility and advanced pelvic organ prolapse. Gynecol Min Invasive Ther. 2015; 5(1): 38-40. DOI: 10.1016/j.gmit.2015.11.001
35. Szymanowski P, Szepieniec WK, Stuwczyhski K, Gruszecki P. Cesarean section after laparoscopic hysterosacropexy with Richardson's lateral repair and Burch operation — Case report. Int J Surg Case Rep. 2019; (59): 185-9. DOI: 10.1016/j.ijscr.2019.05.039
36. Uterine suspension using mesh (including sacrohystero-pexy) to repair uterine prolapse. Interventional procedures guidance. URL: http://www.nice.org.uk/guidance/ipg584 (01 Dec 2023).
37. Wu MP, Weng SF, Wu CJ. The choice of re-operation after primary surgeries for uterine prolapse: A nationwide study. Gynecol Min Invasive Ther. 2015; 4 (4): 120-5. DOI: 10.1016/j. gmit.2015.02.002
38. Guan Z, Li HF, Yang X, Guo LL. Pelvic reconstruction improves pelvic floor strength in pelvic organ prolapse patients. Taiwan J Obstet Gynecol. 2015; 54 (5): 519-21. DOI: 10.1016/j. tjog.2014.07.009
39. NyhusMO, MathewS, Salvesen 0, etal. Effect of preoperative pelvic floor muscle training on pelvic floor muscle contraction and symptomatic and anatomical pelvic organ prolapse after surgery: Randomized controlled trial. Ultrasound Obstet Gynecol. 2020; 56 (1): 28-36. DOI: 10.1002/uog.22007
40. Tosun G, Peker N, Tosun UC, et al. Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction. Taiwan J Obstet Gynecol. 2019;58 (4): 505-13. DOI: 10.1016/j. tjog.2019.05.014
41. de Andrade RL, B0 K, Antonio Fl, et al. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: A randomised trial. J Physiother. 2018; 64 (2): 91-6. DOI: 10.1016/j.jphys.2018.02.010
42. Lucena SV, de Moura Brasil DM, Britto DF, et al. Analysis of correlation between the severity of urinary incontinence and sexual function in women with pelvic floor dysfunction. J Gynecol Obstetrics. 2018; 6 (5): 108-12. DOI: 10.11648/j.jgo. 20180605.11
43. Urinary incontinence and pelvic organ prolapse in women: Management NICE guideline. URL: http://www.nice.org.uk/guid-ance/ng123 (01 Dec 2023).
44. Wang PH. Mid-urethral sling in the management of women with stress urinary incontinence after pelvic organ prolapse treatment. Taiwan J Obstet Gynecol. 2018; 57 (6):777-8. DOI: 10.1016/j.tjog.2018.10.001
45. National Guideline Alliance (UK). Urinary incontinence and pelvic organ prolapse in women: management. London:
National Institute for Health and Care Excellence (UK); 2019 Apr. URL: https://pubmed.ncbi.nlm.nih.gov/31211537 (01 Dec 2023).
46. Huang WC, Lau HH, Su TH. Did surgical failure and complications affect incontinence-related quality of life in women after transobturator sling procedure? Taiwan J Obstet Gynecol. 2018; 57 (2): 295-9. DOI: 10.1016/j.tjog.2018.02.020
47. Saraswat L, Rehman H, Omar Ml, et al. Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2020; 1 (1): CD001754. DOI: 10.1002/14651858.CD001754.pub5
48. Salman S, Babaoglu B, Kumbasar S, et al. Comparison of unilateral and bilateral sacrospinous ligament fixation using minimally invasive anchorage. Geburtshilfe Frauenheilkd. 2019; 79 (9): 976-82. DOI: 10.1055/a-0846-5726
49. Sacrocolpopexy using mesh to repair vaginal vault prolapse. Interventional procedures guidance. URL: http://www.nice.org.uk/guidance/ipg583 (01 Dec 2023).
50. Dawkins JC, Lewis GK, Toy EP Cervical cancer complicating pelvic organ prolapse, and use of a pessary to restore anatomy for optimal radiation: A case report. Gynecol Oncol Rep. 2018; 26: 14-6. DOI: 10.1016/j.gore.2018.08.004
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