Methods for Mesh Implantation Efficacy Assessment in Rectocele
https://doi.org/10.22416/1382-4376-2021-31-3-17-25
Abstract
Aim. A methodological review on mesh implantation efficacy assessment in surgery for rectocele.
Key points. Specialised quiz surveys are among the most appropriate methods to assess surgical intervention efficacy. The questionnaires that enable pre- and postsurgery rectocele grading include PFDI-20 (Pelvic Floor Distress Inventory), the colonic evacuation disorder scale and Cleveland Constipation Scoring System. These surveys determine the surgical intervention efficacy dynamically in conjunction with instrumental surgery assessment techniques.
Conclusion. Clinical practice at the Ryzhikh National Medical Research Centre for Coloproctology combines the originally developed colonic evacuation disorder scale (2003) and PFDI-20. The combined scales allow for a comprehensive symptom assessment in patients with rectocele and other descending perineum syndrome manifestations prior to surgery, as well as symptom dynamics evaluation postoperatively, which, in link with defecography, enables a complete appraisal of the surgical effect.
About the Authors
A. S. Lukianov
Ryzhikh National Medical Research Centre for Coloproctology
Russian Federation
Russian Federation
Anton S. Lukianov — Postgraduate Student, Physician (coloproctology), Department of Minimally Invasive Proctology and Pelvic Surgery.
123423, Moscow, Salyama Adilya str., 2
A. Yu. Titov
Ryzhikh National Medical Research Centre for Coloproctology
Russian Federation
Russian Federation
Aleksandr Yu. Titov — Dr. Sci. (Med.), Head of the Department of General and Reconstructive Coloproctology.
123423, Moscow, Salyama Adilya str., 2
O. M. Biryukov
Ryzhikh National Medical Research Centre for Coloproctology
Russian Federation
Russian Federation
Oleg M. Biryukov — Cand. Sci. (Med.), Head of the Department of General and Reconstructive Coloproctology.
123423, Moscow, Salyama Adilya str., 2
A. A. Mudrov
Ryzhikh National Medical Research Centre for Coloproctology; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Andrey A. Mudrov — Cand. Sci. (Med.), Researcher, Department of General and Reconstructive Coloproctology.
123423, Moscow, Salyama Adilya str., 2
I. V. Kostarev
Ryzhikh National Medical Research Centre for Coloproctology; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Russian Federation
Russian Federation
Ivan V. Kostarev — Dr. Sci. (Med.), Head of the Department of Minimally Invasive Proctology and Pelvic Surgery.
123423, Moscow, Salyama Adilya str., 2
References
1. [Sheligin Yu.A., Blagodarniy L.A. Spravochnik po kolo-proktologii. Moscow, Litterra, 2014:173—189 (In Russ.).
2. Song W., Kim T., Chung J., Cho W.J., Lee H.N., Lee Y.S., et al. Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse. Low Urin Tract Symptoms. 2016;8(3):159—64. DOI: 10.1111/luts.12090
3. Nyyssonen V., Santala M., Ala-Nissila S., Bloigu R., Haarala M. Posterior Transvaginal Mesh without Concurrent Surgery: How Does It have an Effect on the Untreated Vaginal Compartment? Gynecol Obstet Invest. 2017;82(1):66[71. DOI: 10.1159/000445742
4. Huang K., Huang L., Chu L., Chuang F., Wu M., Kung F. Evaluation of the single-incision Elevate system to treat pelvic organ prolapse: follow-up from 15 to 45 months. Int Urogynecol J. 2015;26(9):1341[6. DOI: 10.1007/s00192-015-2693-x
5. Loran O.B., Seryogin A.V., Dovlatov Z.A. Use of POP-Q system for evaluation of patients' status before and after pelvic organs prolapse correction. Journal of Siberian Medical Sciences. 2015;5:27 (In Russ.).
6. Bezmenko A.A., Berlev I.V. Experience of pelvic floor extraperitoneal reconstruction by means of “Prolift” system. Russian Military Medical Academy Gasette. 2010:3(31);189—92 (In Russ.).
7. Azats H., Charles C., Delporte P., Debodinance P. Prolapse repair using the Elevate™ kit: prospective study on 70 patients. Int Urogynecol J. 2012;23(t0):1421—8. DOI: 10.1007/s00192-012-1673-7
8. Gonocruz S.G., Hayashi T., Tokiwa S., Sawada Y., Okada Y., Yoshio Y. Transvaginal surgery using self-cut mesh for pelvic organ prolapse: 3-year clinical outcomes. Int J Urol. 2019;26(7):731—6. DOI: 10.1111/iju.13984
9. Milani A., Hinoul P., Gauld J.M., Sikirica V., Drie D., Cosson M. Trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh: 1 year outcomes. Am J Obstet Gynecol. 2011;204(1):74.1—8. DOI: 10.1016/j.ajog.2010.08.036
10. Gvozdev M.Yu., Tupikina N.V., Kasyan G.R., Pushkar D.Yu. Pelvic organs prolapse in urologist clinical practice. Methodical recommendations no 3. 2016;18—9 (In Russ.).
11. Khandwala S. Transvaginal mesh surgery for pelvic organ prolapse: one-year outcome analysis. Female Pelvic Med Reconstr Surg. 2013;19(2):84—9. DOI: 10.1097/SPV.0b013e31827de6de
12. Lukban J.C., Roovers J.P., Vandrie D.M., Erickson T., Zylstra S., Patel M.P., et. al. Single-incision apical and posterior mesh repair: 1-year prospective outcomes. Int Urogynecol J. 2012;23(10):1413—9. DOI: 10.1007/s00192-012-1692-4
13. Loran O.B., Seregin A.V., Dovlatov Z.A. Efficacy evaluation of pelvic organ prolapse surgical treatment by means of special questionnaires. Journal of Siberian Medical Sciences. 2015;5:30 (In Russ.).
14. Tzarkov P.V., Sandrikov V.A., Tuli-na I.A., Derinov A.A., Brindar N.G., Kartashova O.V., et al. Efficacy of rectocele surgical treatment by means of mesh implants at obstructive defecation syndrome. Surgery. Journal by N.I. Pirogov. 2012;8:25-33 (In Russ.).
15. Shelyigin Yu.A., Biryukov O.M., Titov A.Yu., Fomenko O.Y., Mudrov А.А. Are there any predictors of rectocele surgical treatment results? Colonoproctology. 2015;1(51):64—9 (In Russ.).
16. Bezhenar V.F., Aylamazyan E.K., Bogatyireva E.V. “Prolift” system use efficacy in surgery treatment of decompensated pelvic organs prolapse in women. Moscow surgical journal. 2009;4:5-16 (In Russ.).
17. Shelyigin Yu.A., Biryukov O.M., Titov A.Yu., Mudrov A.A., Zadachin G.V. Use of synthetic and biological implants for recto-vaginal septum support at rectocele correction. Surgical gazette by I.I. Grekov. 2017;176(4):51 — 4 (In Russ.). DOI: 10.24884/0042-4625-2017-176-4-51-54
18. Bezhenar V.F., Bogatyireva E.V., Nedyalkova E.S., Aylamazyan E.K. Use of X-Ray examination for efficacy evaluation of patients with rectocele surgical treatment by means of PROFIT system. Journal of obstetrics and women diseases. 2009;58(5):20—1 (In Russ.).
Review
For citations:
Lukianov A.S., Titov A.Yu., Biryukov O.M., Mudrov A.A., Kostarev I.V. Methods for Mesh Implantation Efficacy Assessment in Rectocele. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2021;31(3):17-25. (In Russ.) https://doi.org/10.22416/1382-4376-2021-31-3-17-25
Views:
830
Email this article 
