Hysteropexy with single-incision vaginal support system associated with a modified culdoplasty for enterocele prevention
| Autor: | Vincenzo Guardabasso, Gabriella Torrisi, Giuseppe Ettore, Carla Ettore |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Hernia Hysteroscopy de novo prolapse enterocele Hysteropexy mesh pelvic organ prolapse Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Postoperative Complications Culdoplasty Recurrence medicine Humans Prospective Studies Aged Suburethral Slings 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Middle Aged Plastic Surgery Procedures Surgery Treatment Outcome Single incision Patient Satisfaction 030220 oncology & carcinogenesis Vagina Support system Female Culdoscopy business |
| Zdroj: | Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 40(2) |
| ISSN: | 1364-6893 |
| Popis: | Our study assessed the safety and clinical outcomes of hysteropexy with a single-incision mesh associated with a modified culdoplasty, for the surgical management or prevention of enterocele, in women with pelvic organ prolapse (POP). We carried out a 1-year prospective single-cohort study, including 51 women with symptomatic, multi-compartmental POP. Anatomical outcome was assessed with a POP-Q system and the subjective outcomes were assessed using ICSQ-SF and PGI-I. One-year follow-up data were available for 48 out of 51 patients. The POP-Q cure rate was 91%, 83% of patients were satisfied or very satisfied (PGI-I ≤ 2). No major complications occurred; the most common minor complications were mesh erosion (6%) and pelvic pain (8%). Lower urinary tract dysfunctions arose in 16% of the patients. Anatomical prolapse recurrence (POP-Q stage ≥2) in anterior or apical compartments occurred in four patients (8%). No case of |
| Databáze: | OpenAIRE |
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