Simplified laparoscopic sacropexy avoiding deep vaginal dissection
| Autor: | Roberto Zizzo, Elena Olearo, Federica Fassio, Stefano Cosma, Chiara Benedetto, Michela Chiadò Fiorio Tin, Saverio Danese, Paolo Petruzzelli, Silvia Parisi |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Vaginal vault prolapse Operative Time 030232 urology & nephrology Laparoscopic sacral colpopexy 03 medical and health sciences 0302 clinical medicine Quality of life Obstetrics and gynaecology Uterine Prolapse Humans Medicine Trigone of urinary bladder Stage (cooking) Aged Retrospective Studies Levator ani muscle 030219 obstetrics & reproductive medicine business.industry Genitourinary system Laparoscopic sacrocolpopexy Laparoscopic colposacropexy Obstetrics and Gynecology General Medicine Middle Aged Surgical Mesh Apex (geometry) Surgery Pelvic organ prolapse Promontofixation Dissection Laparoscopic sacropexy Vagina Quality of Life Female Laparoscopy business Vaginal Vault Prolapse |
| Popis: | OBJECTIVE To evaluate the safety and efficacy of a "simplified" laparoscopic sacropexy approach. METHODS Data were retrospectively assessed from women with apical prolapse of stage 2 or higher who underwent "simplified" laparoscopic sacropexy between October 1, 2010, and May 31, 2017 at the St Anna Hospital, City of Health and Science, Torino, Italy. Patients were treated with the "simplified" laparoscopic sacropexy, where meshes were anchored solely to the vaginal apex, even in the presence of advanced multi-compartment vaginal prolapse. Data on prolapse stage and urogenital functions collected through clinical examinations, and questionnaires at baseline, 6 months, 12 months, and annually thereafter were examined. RESULTS Overall, 121 women were included in the analysis; the mean follow-up was 33.2 months. Mean operative time was 135.1 minutes; there were no intraoperative visceral or vascular injuries. There was 1 (0.8%) patient who experienced recurrence, and 2 (1.7%) who experienced vaginal erosion. Both urogenital symptom scores (all P |
| Databáze: | OpenAIRE |
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