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  • 30 -9 (83) 2025 - Yuldashev S.K. - VASCULARIZED FLAP IN THE TREATMENT OF CENTRAL DEFECT OF THE ANTERIOR VAGINAL WALL: NEW HORIZONS IN SURGERY

30 -9 (83) 2025 - Yuldashev S.K. - VASCULARIZED FLAP IN THE TREATMENT OF CENTRAL DEFECT OF THE ANTERIOR VAGINAL WALL: NEW HORIZONS IN SURGERY

VASCULARIZED FLAP IN THE TREATMENT OF CENTRAL DEFECT OF THE ANTERIOR VAGINAL WALL: NEW HORIZONS IN SURGERY

Yuldashev S.K. - Republican Specialized Scientific and Practical Medical Center for Maternal and Child Health

Resume

The aim of this study was to evaluate the efficacy and safety of a novel technique for the treatment of central defects of the anterior vaginal wall using a vascularized flap. This prospective study included patients with a confirmed diagnosis who underwent organ-preserving reconstruction with preservation of tissue blood supply. Outcomes were assessed using objective anatomical criteria (POP-Q) and subjective quality-of-life measures (PFIQ-7, PFDI-20) before and after surgery. At 6 months of follow-up, the majority of patients achieved complete anatomical restoration and a marked reduction in symptom severity. Quality-of-life scores improved significantly, reflecting not only the elimination of prolapse but also the restoration of physical activity and psycho-emotional well-being. Complications were rare, did not require re-intervention, and no recurrences were observed during the follow-up period. Avoidance of synthetic materials prevented specific material-related complications while maintaining high durability and functional integrity of the reconstruction. The results confirm that the proposed method is a promising, safe, and effective surgical option for the correction of this pathology.

Keywords: vascularized flap; central defect of the anterior vaginal wall; POP-Q; PFIQ-7; PFDI-20; quality of life; pelvic organ prolapse; anatomical restoration

First page

190

Last page

195

For citation:Yuldashev S.K. - VASCULARIZED FLAP IN THE TREATMENT OF CENTRAL DEFECT OF THE ANTERIOR VAGINAL WALL: NEW HORIZONS IN SURGERY//New Day in Medicine 9(83)2025 190-195 https://newdayworldmedicine.com/en/new_day_medicine/9-83-2025

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