. . . "2013-03-26+01:00"^^ . "0"^^ . " pelvic floor reconstruction" . "levator avulsion" . . " vaginal mesh" . . " pelvic floor ultrasound" . "http://www.isvav.cz/projectDetail.do?rowId=NT12147"^^ . "Specification of indications for vaginal reconstructive pelvic floor disorders surgery with synthetic implants"@en . . . "2011-06-01+02:00"^^ . . . . "NT12147" . . . "2014-12-31+01:00"^^ . . . "Pl\u00E1nujeme v rizikov\u00E9 skupin\u011B \u017Een s avulz\u00ED levatoru resp. s velkou plochou urogenit\u00E1ln\u00EDho hiatu tzv. ballooningem trp\u00EDc\u00EDch symptomatick\u00FDm sestupem po\u0161evn\u00EDch st\u011Bn, minim\u00E1ln\u011B ve dvou ze t\u0159\u00ED kompartment\u016F (z toho jeden mus\u00ED b\u00FDt p\u0159edn\u00ED), srovnat 2 opera\u010Dn\u00ED metody: klasickou vaginopexi dle Amreich-Richter s minim\u00E1ln\u011B invazivn\u00EDmi metodou inzerce polypropylenov\u00E9 s\u00ED\u0165ky. Rizikovou skupinu definujeme pomoc\u00ED 4D ultrazvukov\u00E9ho vy\u0161et\u0159en\u00ED. V\u00FDsledky chceme zhodnotit v ro\u010Dn\u00EDm odstupu od operace, co\u017E je nejstandardn\u011Bj\u0161\u00ED follow-up u rekonstruk\u010Dn\u00EDch technik p\u00E1nevn\u00EDho dna. Prim\u00E1rn\u00EDm c\u00EDlem v hodnocen\u00ED je procento recidiv v operovan\u00E9m kompartmentu. Jako sekund\u00E1rn\u00ED c\u00EDle budeme hodnotit riziko \u010Dasn\u00FDch a pozdn\u00EDch komplikac\u00ED, ultrazvukov\u00E1 monitorace chov\u00E1n\u00ED implant\u00E1t\u016F v pr\u016Fb\u011Bhu sledov\u00E1n\u00ED. T\u00EDm, \u017Ee jsme schopni definovat rizikovou skupinu pacientek s pomoc\u00ED 4D UZ, tim m\u016F\u017Eeme odpov\u011Bd\u011Bt na ot\u00E1zku konkr\u00E9tn\u00EDch indika\u010Dn\u00EDch kriterii\u00ED i techniky operace." . "1"^^ . "For a group of women after hysterectomy with a levator defect, or ballooning, suffering with symptomatic vaginal wall prolapse in at last two of the three compartments (one of which the anterior one) we want to compare 2 operation procedures: a traditional Amreich-Richter operation and minimally invasive procedure using mesh. The risk group will be defined by 4D ultrasound examination. The results will be assessed one year from the operation, which is the standard follow-up for reconstructive pelvic floor surgery. The primary aim is to determine the percentage of recurrent prolapse in the compartment operated; the secondary aim to assess the risk of early and late complication and the effect on the patients' quality of life. We will also carry out US monitoring of the behavior of the implants over the period under review. Defining the risk group of patients by 4D US will enable us to specify indication criteria for various operation techniques."@en . . "0"^^ . "2015-01-22+01:00"^^ . "1"^^ . "levator avulsion; vaginal mesh; pelvic floor reconstruction; pelvic floor ultrasound, 4D ul"@en . "Specifikace indikace u\u017Eit\u00ED implant\u00E1t\u016F v rekonstruk\u010Dn\u00ED operativ\u011B defekt\u016F p\u00E1nevn\u00EDho dna" . . "1"^^ . .