An original method of surgical correction of enterocele using a titanium implant with transobturator-sacrospinal fixation

Abstract

AIM: This study aimed to optimize the outcomes of surgical treatment of enterocele using the original model of “titanium silk” mesh implants with their transobturator-sacrospinal fixation. MATERIALS AND METHODS: A comprehensive clinical examination and surgical treatment of 22 patients aged 53–68 years with enterocele who had undergone surgical interventions for various forms of POP, were conducted. All patients underwent surgery using the surgical technique developed for enterocele correction using an original “titanium silk” mesh implant model with transobturator-sacrospinal fastening. Outpatient monitoring of patients in the early and delayed postoperative periods was carried out after 1, 6, 12, and 24 months. RESULTS: During dynamic follow-up, patients were satisfied with the results of the surgical treatment, POP symptoms were stable, and no signs of relapse and mesh-associated complications were observed. CONCLUSION: The study confirmed the effectiveness and safety of a new surgical technique for enterocele correction using an original model of a mesh implant “titanium silk” with transobturator-sacrospinal fixation in patients with enterocele who had undergone surgery in the past for various forms of POP. However, further research in this direction is needed.