Ways to improve the results of the treatment of severe forms of pelvic prolapse

Objective. To develop a new technically simple video-laparoscopic method of pelvic floor plastic, which allows to reduce the time required for postoperative rehabilitation, as well as the number of postoperative complications and relapses.Material and methods. The article presents the results of treatment of 37 patients with total forms of pelvic prolapse using a new method for the treatment of pelvic prolapse developed in the clinic.Results. When applying the proposed method of plastic surgery of severe forms of pelvic prolapse, no serious complications were obtained in the postoperative period, no recurrence of the disease was noted during 3 years of observation, and an improvement in functional parameters and quality of life of patients was observed.Conclusion. The method of surgical treatment of total pelvic prolapse and the algorithm for its implementation make it possible to securely fix the pelvic organs in positions approximately corresponding to normal anatomy, eliminate defects in the rectovaginal and cystovaginal septa by replacing with alloplastic material, as well as reduce the number of relapses, postoperative complications, improve the quality of life of patients, reduce the time their hospital stay and speed up rehabilitation.