Laparoscopic colpopexy technique performed with laparoscopic supracervical hysterectomy, total laparoscopic hysterectomy, and following total abdominal hysterectomy

• Autorzy: Stangel-Wójcikiewicz K. , Wojtyś A. , Piwowar M. , Migdał M. , Popławska A. M.
• Języki publikacji: EN

Abstrakty

EN

Study objective: Our purpose was to assess a modification of laparoscopic colpopexy technique. Design: Retrospective case analysis. Setting: University teaching hospital. Patients: A total of 28 patients with stage I, II and III organ prolapse. Interventions: The rectovaginal space was dissected at the superior aspect of the posterior vaginal fascia and a mesh was sutured to this fascia. Measurements and Main Results: 28 patients completed a 36 months follow-up. No recurrences of the vagina vault prolapse was observed. Three cases of abdominal pain at the level of the trocars placing were recorded in a first week after surgery. Two of these were found in the group of LSH and one in the group of a hysterectomy history. There was no significant difference in blood loss, length of hospital stay and surgical or postoperative complications. Conclusion: The modification of laparoscopic colpopexy, although technically challenging, may be learned quickly. It shows rapid improvement in operative time without subjecting the patient to undue risk. Further studies are required to determine the long-term tolerance and outcome of the procedure.

Słowa kluczowe

EN

colpopexy; laparoscopy; organ prolapse; vagina fault

• Wydawca: Uniwersytet Jagielloński - Collegium Medicum ; Index Copernicus Sp. z o.o.
• Czasopismo: Bio-Algorithms and Med-Systems
• Rocznik: 2011
• Tom: Vol. 7, no. 1
• Strony: 43--48
• Opis fizyczny: Bibliogr. 13 poz., tab.

Twórcy

autor

Stangel-Wójcikiewicz K.

• Department of Gynecology and Oncology, Jagiellonian University Medical College of Kraków, ul. Kopernika 23, 31-501 Kraków, Poland

autor

Wojtyś A.

• Department of Gynecology and Oncology, Jagiellonian University Medical College of Kraków, ul. Kopernika 23, 31-501 Kraków, Poland

autor

Piwowar M.

• Department of Bioinformatics and Telemedicine, Jagiellonian University Medical College of Kraków, ul. Św. Łazarza 16, 31-530 Kraków, Poland

autor

Migdał M.

• Department of Gynecology and Oncology, Jagiellonian University Medical College of Kraków, ul. Kopernika 23, 31-501 Kraków, Poland

autor

Popławska A. M.

• Jagiellonian University Medical College, Faculty of Medicine, ul. Św. Anny 12, Kraków, Poland

Bibliografia

• 1. Olsen A.L., Smith V.J., Bergstrom J.O., Colling J.C., Clark A.L. Epidemiology of surgically managed pelvic organ prolpase and urinary incontinence. Obstet Gynecol, 89, 501-6, 1997.
• 2. Nezhat C.H., Nezhat F., Nezhat C. Laparoscopic sacral colpopexy for vaginal vault porolapse. Obstet Gynecol, 84, 885-888, 1994.
• 3. Nygaard .IE., McCreery R., Brubaker L., et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol, 104, 805-823, 2004.
• 4. Culligan P.J., Murphy M., Blackwell L., et al. Long-term success of abdominal sacral colpopexy using synthetic mesh. AM J Obstet Gynecol, 187, 1473-1480, 2002.
• 5. Cundiff G.W., Feiner D. Evaluation and treatment of women with rectocele: focus on associated defecatory and sexual dysfunction. Obstet Gynecol, 104, 1403-1421, 2004.
• 6. Scott R.J., Garely A.D., Greston W.M., et al. Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periostium and obturator membrane. AM J Obstet Gynecol, 179, 1436-1445, 1998.
• 7. De Vita, Araco, Gravante, Sesji, Piccione. Vaginal reconstructive surgery for severe pelvic organ prolapses: A uterine-sparing’ technique using polypropylene prostheses. Eur J of Obstet&Gynecol and Reproductive Biology, 139, 245-251, 2008.
• 8. Davila G.W., Ghoniem G.M., Kapoor D.S. Et al. Pelvic floor dysfunction management practice patterns: a survey of members of the International Urogynecological Association. Int Urogynecol J Pelvic Floor Dysfunct, 13, 319-325, 2002.
• 9. Bump R.C., Mattiasson A., Bo K., Brubaker L.P., DeLancey J.O., Klarskov P., Shull B.L., Smith A.R..The standarization of terminology of female poelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol, 175, 10-17, 1996.
• 10. Culligan P.J., Blackwell L., Goldsmith L.J., et al. A randomized controlled trial comparing fascia lata and synthetic mesh for sacral colpopexy. Obstet Gynecol, 106:29-37, 2005.
• 11. Cundiff G.W., Harris R.L., Coats K., et al. Abdominal sacral colpoperineopexy: A new approach for correction of posterior compartment defects and perineal descent associated with vaginal vault prolapsed. Am J Obstet Gynecol, 177:1345-1355, 1997.
• 12. Sullivan E.S., Longaker C.J., Lee P.Y. Total pelvic mesh repair. A ten-year experience. Dis Colon Rectun, 44:857-863, 2001.
• 13. Colombo M., Milani R. Sacrospinous ligemant fixation abd modified McCall culdoplsty Turing vaginal hysterectomy for advanced uterovaginal prolapsed. Am J Obstet Gynecol, 179: 13-20, 1998.