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[采用阴道与腹腔镜联合的新型侧向人工子宫固定术治疗生殖器脱垂]

[Surgical treatment of genital prolapse with a new lateral prosthetic hysteropexia technique combining vaginal and laparoscopic methods].

作者信息

Husaunndee M, Rousseau E, Deleflie M, Geoffrion H, Dallay D, Descamps P

机构信息

Service de Gynécologie-Obstétrique, Centre hospitalier de Dax, BP 323, 40107 Dax Cedex.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2003 Jun;32(4):314-20.

Abstract

We describe a new surgical treatment of pelvic organ prolapse. The anterior and medium compartments are treated by a transversal hysteropexy by means of an anterior prosthesis fixed by vaginal route and by laparoscopy. The principle is based on the operative technique described by Kapandji but the prosthesis is fixed to the fascia of the external oblique muscle in a subperitoneal path. The posterior compartment is treated by a vaginal route exclusively. A posterior prosthesis is placed in the rectovaginal space and fixed to the elevator muscles. Further studies are necessary to evaluate this new operative technique.

摘要

我们描述了一种盆腔器官脱垂的新手术治疗方法。前侧和中间隔室通过经阴道途径和腹腔镜固定的前侧假体进行横向子宫固定术治疗。其原理基于卡潘迪描述的手术技术,但假体通过腹膜下路径固定于腹外斜肌筋膜。后侧隔室仅通过阴道途径治疗。在后阴道直肠间隙放置后侧假体并固定于提肌。需要进一步研究来评估这种新手术技术。

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