Outcomes of nerve-sparing laparoscopic sacropexy on one hundred fifteen cases
| Autor: | Gonca Coban Serbetcioglu, Pinar Caglar Aytac, Hakan Kalaycı, Songül Alemdaroğlu, Seda Yüksel Şimşek, Husnu Celik |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Nerve sparing Urinary system Hysterectomy Pelvic Organ Prolapse Pelvis Recurrence risk 03 medical and health sciences Gynecologic Surgical Procedures Postoperative Complications 0302 clinical medicine Recurrence medicine Humans Stage (cooking) Intraoperative Complications Anal function Aged Aged 80 and over Pelvic organ 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Middle Aged Surgical Mesh Vaginal cuff Surgery Treatment Outcome Reproductive Medicine Apical prolapse 030220 oncology & carcinogenesis Vagina Female Laparoscopy business |
| Zdroj: | Journal of Gynecology Obstetrics and Human Reproduction. 49:101795 |
| ISSN: | 2468-7847 |
| DOI: | 10.1016/j.jogoh.2020.101795 |
| Popis: | Study objective To evaluate the postoperative anatomic and functional outcomes of patients who underwent laparoscopic nerve-sparing sacrocolpopexy or sacrocervicopexy for pelvic organ prolapse (POP) POP-Q stage III and IV apical prolapse, and to delineate the contributing factors for recurrence. Study Design and Classification The file records of patients who underwent sacropexy in the last five years were reviewed retrospectively and compared in terms of preoperative and postoperative anatomic findings and symptoms. Patients Patients who underwent laparoscopic nerve-sparing surgery for treatment of POP-Q Stage III and IV/prolapse of uterine or vaginal cuff were included. Interventions Postoperative anatomic and functional outcomes were evaluated using POP-Q classification and urinary/anal function by questioning during visits. Results The mean follow-up duration was 24.2 ± 17.6 months. Anatomic recovery was achieved in 104 (90.4 %) cases. Advanced age (≥70 years), longer duration of symptoms, and low body mass index were determined as parameters related to recurrence risk. |
| Databáze: | OpenAIRE |
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