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TWO-LEVEL PLASTIC OF THE PELVIC BOTTOM IN SURGICAL TREATMENT OF RECTOCELE

https://doi.org/10.33878/2073-7556-2016-0-2-17-24

Abstract

AIM. Improvement of treatment results in patients with the rectocele using of a two-level plastic of a pelvic bottom. METHODS. The plastic to a rectocele was carried out from the combined transvaginal and transrectal approach and consisted in sacrospinal-cardinal ligament, the colporrhaphy added transrectal «11 hours» with a mucopexy on height to 5 cm from the dental line. RESULTS. The remote results of treatment were tracked in terms from 12 months till 5 years after operation (a median of 3,5 years). In the studied group the «good» result was noted at 37 (75,5 %) patients, «satisfactory» and «unsatisfactory» - at 11 (22,4%) and 1 (2,0%) patients, respectively. Recurrence of a disease was taped at only 1 patient (2 %). CONCLUSION. The two-level pelvic plastic with the combined vaginal and transrectal access is associated with short operating time of 50 min., intraoperative blood loss about 150 ml and low perioperative morbidity.

About the Authors

A. G. Khitaryan
Road clinical hospital on st. Rostov-Main OAO «RJD»; Rostov State Medical University
Russian Federation


J. N. Prazdnikov
Moscow State Medico-stomatologic University named A.I. Evdokimova»
Russian Federation


K. A. Dulierov
Road clinical hospital on st. Rostov-Main OAO «RJD»
Russian Federation


D. V. Stagniev
City policlinic № 16
Russian Federation


A. Z. Alibekov
Rostov State Medical University
Russian Federation


S. V. Prokudin
Road clinical hospital on st. Rostov-Main OAO «RJD»
Russian Federation


K. S. Veliev
Road clinical hospital on st. Rostov-Main OAO «RJD»
Russian Federation


S. A. Kovalev
Road clinical hospital on st. Rostov-Main OAO «RJD»
Russian Federation


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Review

For citations:


Khitaryan A.G., Prazdnikov J.N., Dulierov K.A., Stagniev D.V., Alibekov A.Z., Prokudin S.V., Veliev K.S., Kovalev S.A. TWO-LEVEL PLASTIC OF THE PELVIC BOTTOM IN SURGICAL TREATMENT OF RECTOCELE. Koloproktologia. 2016;(2):17-24. (In Russ.) https://doi.org/10.33878/2073-7556-2016-0-2-17-24

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ISSN 2073-7556 (Print)
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