Tratamentul chirurgical al prolapsului genital

Abstract

The study has been done on a sample of 1195 patients aged from 26 to 85 years, hospitalized and operated in the gynecology department of the Public Medical-Sanitary Institution Clinic Municipal Hospital “ Saint Archangel Michael” from 2005 to 2018 with diagnosis: “Genital prolapse”. Patients from urban area – 910 / 76% , and rural area – 285 / 24%, of fertile age – 242 / 21% , menopausal – 953 / 80%. The treatment method was a vaginal intervention. The selection of surgical procedures was made according to the patient's age and prolapse severity. Anterior colporrhaphy with colpoperineorrhaphy -460, Manchester operation – 507, total vaginal hysterectomy with anterior and colpoperineorrhaphy – 155 , median colporrhaphy by the Neugabauer Lefort method – 42, transvaginal suspension of vaginal done to the aponeurosis of right abdominals – 38. At 3 years after the intervention, there have been examined 873 patients ( 73% ) the evaluation of post-operation results has shown: 1) Anterior colporrhaphy with colpoperineorrhaphy had efficiency in 92% ; 2) Manchester operation had efficiency in 88% ; 3) Total vaginal hysterectomy with anterior colporrhaphy and colpoperineorrhaphy (n = 155) responds in 17 cases, reintervention in 9 patients with intervention efficiency in 89% ; 4) Median colporrhaphy after Neugabauer-Lefort (n=42) transvaginal suspension of the vaginal dome to right abdominal aponeurosis (n = 38) without relapse of surgical treatment of genital prolapse by application of vaginal procedures has shown high efficiency.