Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique
| Autor: | Riccardo Zaccoletti, Giovanni Scambia, Mauro Cervigni, Nicola Amato, Daniela Caramazza, Alfredo Ercoli, Giovanni Panico, Giuseppe Campagna |
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| Rok vydání: | 2017 |
| Předmět: |
Vaginal approach
medicine.medical_specialty Urology Uterosacral ligament 030232 urology & nephrology Uterovaginal prolapse Apical suspension Laparoscopic uterosacral ligament suspension Native tissue repair Pelvic organ prolapse Aged Female Gynecologic Surgical Procedures Humans Laparoscopy Ligaments Pelvic Organ Prolapse Obstetrics and Gynecology Urology Pelvic Organ Prolapse 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Gynecologic Surgical Procedures medicine Humans Aged 030219 obstetrics & reproductive medicine Ligaments business.industry Obstetrics and Gynecology Surgery medicine.anatomical_structure Apical prolapse Native tissue Female Laparoscopy business |
| Zdroj: | International urogynecology journal. 29(8) |
| ISSN: | 1433-3023 |
| Popis: | Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. The aim of this video is to describe an alternative laparoscopic approach to a traditional vaginal procedure to reduce nerve injury and ureteral complications. A 75-year-old woman was referred to our unit for symptomatic stage III apical prolapse and underwent laparoscopic USL fixation, according to the technique described herein. This surgical technique was successful in correcting apical prolapse. This video tutorial may be useful to urogynecologists for improving surgical technique, thus leading to a reduction in the risk of nerve and ureteral complications. The technique offers the possibility of a correct under-vision suture positioning. Laparoscopic USL fixation can be safely performed to treat apical prolapse. |
| Databáze: | OpenAIRE |
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