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首页> 外文期刊>Urologia internationalis >Laparoscopic Management of Vaginal Vault Prolapse Recurring after Pelvic Organ Prolapse Surgery
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Laparoscopic Management of Vaginal Vault Prolapse Recurring after Pelvic Organ Prolapse Surgery

机译:盆腔器官脱垂手术后再次发生阴道穹Vault脱垂的腹腔镜处理

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Introduction: Despite the increasing success of surgery for pelvic organ prolapse, recurrent vaginal vault prolapse is not rare. We present a step-by-step laparoscopic approach with a sacral col popexy (SC) for treatment of recurrent vault prolapse. Materials and Methods: From 2006, 25 women presenting with symptomatic recurrent vault prolapse were prospectively evaluated and treated with laparoscopic SC. This article briefly describes all of the steps that are required to conduct a proper surgery in such cases. Results: After previous abdominal sacropexy, both the dissection of adherences and restoration of normal pelvic anatomy were challenging. As result, the overall operating time was longer in patients who had undergone abdominal sacropexy vs. vaginal route, p = 0.032. No significant peri- or postoperative complications were observed. At a mean follow-up of 41 months, all women presented with less than stage 2 prolapse and high levels of satisfaction. Conclusions: Despite the need for an intraoperative step-by-step surgical safety checklist, the laparoscopic repair of recurrent vault prolapse is technically feasible, safe and effective. (C) 2016 S. Karger AG, Basel
机译:简介:尽管盆腔器官脱垂手术取得了越来越大的成功,但复发性阴道穹ault脱垂并不罕见。我们提出了with腹腔镜手术(SC)的分步腹腔镜治疗复发性穹顶脱垂的方法。材料与方法:从2006年开始,对25例出现症状性复发性穹ault脱垂的妇女进行前瞻性评估,并接受腹腔镜SC治疗。本文简要介绍了在这种情况下进行适当手术所需的所有步骤。结果:先前的腹部器官切除后,粘连的剥离和骨盆解剖结构的恢复都具有挑战性。结果,经历腹腔吻合术和阴道途径的患者的总手术时间更长,p = 0.032。没有观察到明显的围手术期或术后并发症。平均随访41个月,所有妇女的脱垂少于2期,满意度很高。结论:尽管需要术中分步手术安全检查表,但腹腔镜修复复发性穹ault脱垂在技术上是可行,安全和有效的。 (C)2016 S.Karger AG,巴塞尔

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