Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case
https://doi.org/10.24060/2076-3093-2023-13-4-335-341
Abstract
Introduction. Pelvic organ prolapse is increasingly spreading around the world. Therefore, surgical interventions in this pathology are becoming more frequent. Non-mesh surgery for pelvic organ prolapse is reported to have a higher incidence of disease recurrence, and polypropylene mesh implants appear to cause implant-associated complications, thereby limiting their application in clinical practice. Materials and methods. When a patient with an apical prolapse and high risk of postoperative complications sought medical care in the Clinic, the specialists decided to perform promontofixation using a titanium mesh implant. Results and discussion. The present paper describes a clinical case of surgical treatment of genital prolapse using a titanium mesh implant. Since the patient who was admitted for surgical treatment had a family history of genital prolapse, an application of non-mesh technologies implied a high probability of genital prolapse recurrence, as well as a high risk of the vaginal erosion after surgery. Therefore, a promontofixation was performed using a titanium mesh implant, and the 6-month follow-up period showed no postoperative complications. Conclusion. Analysis of postoperative complications demonstrated a considerable potential of using titanium mesh implants for the prevention of implant-associated complications.
About the Authors
P. A. Berg
Bashkir State Medical University
Russian Federation
Russian Federation
Polina A. Berg — Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
I. I. Musin
Bashkir State Medical University
Russian Federation
Russian Federation
Il’nur I. Musin — Cand. Sci. (Med.), Assoc. Prof., Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
A. G. Yаshchuk
Bashkir State Medical University
Russian Federation
Russian Federation
Al’fiya G. Yаshchuk — Dr. Sci. (Med.), Prof., Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
R. A. Naftulovich
Bashkir State Medical University
Russian Federation
Russian Federation
Raisa A. Naftulovich — Cand. Sci. (Med.), Assoc. Prof, Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
Z. M. Galanova
Bashkir State Medical University
Russian Federation
Russian Federation
Zulfiya M. Galanova — Cand. Sci. (Med.), Assoc. Prof, Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
A. G. Imelbaeva
Bashkir State Medical University
Russian Federation
Russian Federation
Albina G. Imelbaeva — Cand. Sci. (Med.), Assoc. Prof, Department of Obstetrics and Gynecology with a Course of Advanced Professional Education
Ufa
References
1. Bezhenar V.F., Deriy E.K., Ivanov O.A., Azhimova Sh.M., Palastin P.M. Markers of connective tissue dysfunction in terms of surgical treatment for pelvic organ prolapse. Gynecology, Obstetrics and Perinatology. 2020;19(6):90–5 (In Russ.). DOI: 10.20953/1726-1678-2020-6-90-95
2. Heymann F., von Trotha K.T., Preisinger C., Lynen-Jansen P., Roeth A.A., Geiger M., et al. Polypropylene mesh implantation for hernia repair causes myeloid cell-driven persistent inflammation. JCI Insight. 2019;4(2):e123862. DOI: 10.1172/jci.insight.123862
3. Kim T.Y., Jeon M.J. Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women. PLoS One. 2020;15(2):e0228566. DOI: 10.1371/journal.pone.0228566
4. Gerullis H., Georgas E., Borós M., Klosterhalfen B., Eimer C., Arndt C., et al. Inflammatory reaction as determinant of foreign body reaction is an early and susceptible event after mesh implantation. Biomed Res Int. 2014;2014:510807. DOI: 10.1155/2014/510807
5. Erema V.V., Buyanova S.N., Mgeliashvili M.V., Petrakova S.A., Puchkova N.V., Yudina N.V., et al. Mesh-associated complications in the correction of pelvic organ prolapse and stress urinary incontinence. Russian Bulletin of Obstetrician-Gynecologist. 2021;21(3):74–8 (In Russ.). DOI: 10.17116/rosakush20212103174
6. Ganer Herman H., Raz N., Gold E., Bar J., Condrea A., Ginath S. Risk of mesh erosion after pelvic organ prolapse repair with or without concomitant vaginal hysterectomy. Isr Med Assoc J. 2019;21(6):399–403. PMID: 31280509
7. Maqbool T., Binhammer A., Binhammer P., Antonyshyn O.M. Risk factors for titanium mesh implant exposure following cranioplasty. J Craniofac Surg. 2018;29(5):1181–6. DOI: 10.1097/SCS.0000000000004479
8. Gu C., Xu L., Shi A., Guo L., Chen H., Qin H. Titanium mesh exposure in guided bone regeneration procedures: a systematic review and metaanalysis. Int J Oral Maxillofac Implants. 2022;37(1):e29–e40. DOI: 10.11607/jomi.9098
9. Maher S., Linklater D., Rastin H., Le Yap P., Ivanova E.P., Losic D. Tailoring additively manufactured titanium implants for short-time pediatric implantations with enhanced bactericidal activity. Chem Med Chem. 2022;17(2):e202100580. DOI: 10.1002/cmdc.202100580
10. Ishchenko A.I., Aleksandrov L.S., Ishchenko A.A., Khokhlova I.D., Gavrilova T.V., Gorbenko O.Yu., et al. An improved surgical approach to treatment of patients with complete uterine prolapse. Gynecology, Obstetrics and Perinatology. 2020;19(1):32–9 (In Russ.). DOI: 10.20953/1726-1678-2020-1-32-39
11. Sun H., Pulakat L., Anderson D.W. Challenges and new therapeutic approaches in the management of chronic wounds. Curr Drug Targets. 2020;21(12):1264–75. DOI: 10.2174/1389450121666200623131200
12. Chen S., Li R., Cheng C., Xu J.Y., Jin C., Gao F., et al. Pseudomonas aeruginosa infection alters the macrophage phenotype switching process during wound healing in diabetic mice. Cell Biol Int. 2018;42(7):877–89. DOI: 10.1002/cbin.10955
13. Thomas D., Demetres M., Anger J.T., Chughtai B. Histologic inflammatory response to transvaginal polypropylene mesh: a systematic review. Urology. 2018;111:11–22. DOI: 10.1016/j.urology.2017.08.010
14. Iashchuk A.G., Berg P.A., Naftulovich R.A., Popova E.M. Method for predicting the risk of vaginal wall erosion in peri- and postmenopausal women after surgical treatment of anterior apicalpelvic organ prolapse using a polypropylene mesh prosthesis: Russian Federation patent 2786480 C1 2022 June 16 (In Russ.).
15. Nosti P.A., Umoh Andy U., Kane S., White D.E., Harvie H.S., Lowenstein L., et al. Outcomes of abdominal and minimally invasive sacrocolpopexy: a retrospective cohort study. Female Pelvic Med Reconstr Surg. 2014;20(1):33–7. DOI: 10.1097/SPV.0000000000000036
16. Campagna G., Vacca L., Panico G., Rumolo V., Caramazza D., Lombisani A., et al. Laparoscopic sacral hysteropexy versus laparoscopic sacral colpopexy plus supracervical hysterectomy in patients with pelvic organ prolapse. Int Urogynecol J. 2022;33(2):359–68. DOI: 10.1007/s00192-021-04865-0
17. Barber M.D., Maher C. Apical prolapse. Int Urogynecol J. 2013;24(11):1815–33. DOI: 10.1007/s00192-013-2172-1
18. Popov A.A., Atroshenko K.V., Fomenko O.Y., Fedorov A.A., Manannikova T.N., Tyurina S.S., et al. Laparoscopic and robo-assisted sacrocolpoxy. Functional results. V.F. Snegirev Archives of Obstetrics and Gynecology. 2016;3(4):210–1 (In Russ.).
19. Kubin N.D., Shkarupa D.D., Basos A.S., Shulgin A.S., Labetov I.A., Shakhaliev R.A., et al. Meshless sacrocolpopexy for posthysterectomy vaginal vault prolapse: vascularized flap technique. Case report. Video case. Gynecology. 2022;24(3):229–32. DOI 10.26442/20795696.2022.3.201707
20. Ishchenko A.I., Ishchenko A.A., Kazantsev A.A., Aleksandrov L.S., Khokhlova I.D., Dzhibladze T.A., et al. Laparoscopic bilateral subperitoneal correction of apical prolapse with titanium mesh implants. Gynecology, Obstetrics and Perinatology. 2021;20(3):19–27 (In Russ.). DOI: 10.20953/1726-1678-2021-3-19-27
Review
For citations:
Berg P.A., Musin I.I., Yаshchuk A.G., Naftulovich R.A., Galanova Z.M., Imelbaeva A.G. Promontofixation Using Titanium Mesh Implant in a Patient with Genital Prolapse: A Clinical Case. Creative surgery and oncology. 2023;13(4):335-341. (In Russ.) https://doi.org/10.24060/2076-3093-2023-13-4-335-341
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