المؤلفون: Olga A. Danilina, Valery G. Volkov

المصدر: Гинекология, Vol 26, Iss 1, Pp 83-88 (2024)

مصطلحات موضوعية: pelvic organ prolapse, reproductive age, laparoscopic promontofixation, mesh endoprosthesis, Gynecology and obstetrics, RG1-991

الوصف: Aim. To evaluate the effectiveness of combined pelvic organ prolapse correction using the proposed modification of laparoscopic promontofixation of the uterus and vaginal walls using a mesh graft in women of reproductive age. Materials and methods. A prospective non-randomized study included 41 women of reproductive age (up to 49 years) with grade II–IV symptomatic combined pelvic organ prolapse. The main group (n=19) included women who underwent surgery using the proposed original method (invention patent No. RU2795649C1 dated October 27, 2022), the control group (n=22) included women who underwent conventional laparoscopic promontofixation of the uterus and vaginal walls and vaginal plasty with local tissues. The duration of surgery, intraoperative blood loss, anatomical result, effect on symptoms and sexual function were assessed using the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results. The duration of surgery and intraoperative blood loss were significantly lower in the main group (p=0.043 and p0.001, respectively). Anatomical success was achieved in both groups and persisted throughout the follow-up period (without statistically significant differences). Analysis of the PFDI-20 questionnaire responses showed a significant improvement in both groups with no statistically significant differences. Analysis of the PISQ-12 questionnaire data showed a significant improvement in the quality of sexual life in both groups; however, after a year of follow-up, patients of the main group had a significantly better quality of sexual life (p0.05). Conclusion. The surgical correction of combined pelvic organ prolapse using the proposed method demonstrated a good anatomical result, a decrease in intraoperative blood loss and duration of surgery, as well as an improvement in sexual function in women of reproductive age.

وصف الملف: electronic resource

العلاقة: https://gynecology.orscience.ru/2079-5831/article/viewFile/567912/pdfTest; https://doaj.org/toc/2079-5696Test; https://doaj.org/toc/2079-5831Test

الوصول الحر: https://doaj.org/article/135a57525cc445c3932e31bf347d73a7Test

المؤلفون: Valery G. Volkov, Nina N. Granatovich, Elena V. Survillo, Leontina V. Pichugina, Zarina S. Achilgova

المصدر: Revista Brasileira de Ginecologia e Obstetrícia, Vol 40, Iss 6, Pp 309-312 (2018)

مصطلحات موضوعية: abortion, pregnancy, maternal mortality, family planning, sepsis, Gynecology and obstetrics, RG1-991

الوصف: Abstract Objective To study the structure ofmaternalmortality caused by abortion in the Tula region. Methods The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed. Results Overall, 204,095 abortion cases were recorded in the Tula region for over 15 years. The frequency of abortion was reduced 4-fold, with 18,200 in 2001 to 4,538 in 2015. The rate of abortions per 1,000 women (age 15-44 years) for 15 years decreased by 40.5%, that is, from 46.53 (2001) to 18.84 (2015), and that of abortions per 100 live births and stillbirths was 29.5%, that is, from 161.7 (2001) to 41.5 (2015). Five women died from abortion complications that began outside of the hospital, which accounted for 0.01% of the total number. In the structure of causes of maternal mortality for 15 years, abortion represented 14.3% of the cases. Lethality mainly occurred in the period from 2001 to 2005 (4 cases). Among thematernal deaths, many women died in rural areas after pregnancy termination at 18 to 20 weeks of gestation (n = 4). In addition, three women died from sepsis and two from bleeding. Conclusion The introduction of modern, effective technologies of family planning has reduced maternal mortality due to abortion.

وصف الملف: electronic resource

العلاقة: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000600309&tlng=enTest; http://www.scielo.br/pdf/rbgo/v40n6/0100-7203-rbgo-40-06-00309.pdfTest; https://doaj.org/toc/0100-7203Test

الوصول الحر: https://doaj.org/article/f963ebac618a40ff8b8378490bdff33cTest