Pectineal ligament suspension of prolapsed vaginal vault
| Autor: | Ravindra Shelmohkar, Smita Bijwe, Suhas Otiv, Mahindra Borse, Rabin N. Majumder, Vasant B. Dagade, Maneesha Shrivastava, Vivek Madhusudan Joshi |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty India Pelvic Organ Prolapse Gynecologic Surgical Procedures Recurrence Urban Health Services medicine Humans Surgical Tape Aged Ligaments business.industry Obstetrics and Gynecology General Medicine Middle Aged Surgery Treatment Outcome Pectineal ligament medicine.anatomical_structure Feasibility Studies Female Laparoscopy Vaginal vault Rural Health Services Vaginal surgery business Vaginal Vault Prolapse Follow-Up Studies |
| Zdroj: | International Journal of Gynecology & Obstetrics. 123:29-32 |
| ISSN: | 0020-7292 |
| DOI: | 10.1016/j.ijgo.2013.04.017 |
| Popis: | Objective To report on a collective pectineal ligament suspension experience acquired over 12 years in India with 119 women who presented with prolapsed vaginal vault. The feasibility and effectiveness of the procedure was assessed for the open and laparoscopic routes. Methods The prolapsed vaginal vault was suspended unilaterally to the pectineal ligament using polyester tape at 3 urban and 3 rural hospitals. The procedure was done through a Cherney incision in 104 women. In the remaining 15 women, it was done laparoscopically at a single urban center. Results There were no intraoperative complications. The mean follow-up was 5.5 years (range, 0.5–12 years). Only 2 women had vaginal prolapse recurrence, at 3 and 5 years. Two had asymptomatic tape erosion, at 2 and 5 years, and a mild cystocele appeared in 5 women and a low rectocele in 4. However, none of these women required further vaginal surgery during their follow-up period. Conclusion The present study demonstrates the long-term safety and effectiveness of pectineal ligament suspension for vaginal vault prolapse by the open and the laparoscopic routes. As it was done by surgeons of varying experience at centers with varying resources, the procedure can be readily mastered by any gynecologic surgeon. |
| Databáze: | OpenAIRE |
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