Surgical correction of pelvic organ prolapse: rationale for the use of synthetic implants

Introduction. Pelvic organ prolapse (VET) in the form of cystocele and rectocele occurs in 57-78°% of women aged 50 years and older. One of the methods of treatment is surgical intervention using synthetic mesh implants. The method of vaginal extraperitoneal colpopexy with synthetic implants in the surgical treatment of pelvic organ prolapse using original systems, which allows strengthening or replacing insolvent ligaments and fascia of the pelvic floor, is pathogenetically substantiated. There is very little work devoted to studying the effect of the polypropylene network on the vaginal tissue in women after mesh implant implantation in order to correct pelvic organ prolapse. Patients and methods. A complex of histological and histochemical methods for the study of biopsy specimens of the anterior and posterior walls was performed vaginas in 31 women operated on for VET by the method of vaginal extraperitoneal anterior or posterior colpopexy with synthetic implants from the polypropylene surgical mesh ESFIL «white-blue» (Linteks, Russia)...