Dubuisson Jean-Bernard, Yaron Michal, Wenger Jean-Marie, Jacob Sandrine
Department of Obstetrics and Gynecology, Geneva University Hospital, Geneva, Switzerland.
J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):49-55. doi: 10.1016/j.jmig.2007.11.003.
To evaluate the efficacy of laparoscopic lateral suspension using mesh in patients with pelvic organ prolapse (POP).
A prospective cohort study (Canadian Task Force classification II-2).
A tertiary referral center for operative laparoscopy.
In all, 73 patients with POP were assessed in the preoperative and postoperative stages. The assessment included a description of their functional symptoms and the degree of their POP condition, established according to the Baden-Walker prolapse classification system. The patients were followed in the postoperative stage for a median of 19 (range 12-41) months.
Laparoscopic lateral suspension of pelvic organs using mesh carried out from January 2004 through September 2006.
Satisfactory anatomic results were obtained in 64 (87.7%) patients. Neither major complications, nor postoperative pelvic infection were reported. None of the operations required laparotomy.
Laparoscopic lateral suspension using mesh effectively treats POP with low morbidity.
评估使用网片进行腹腔镜侧方悬吊术治疗盆腔器官脱垂(POP)患者的疗效。
一项前瞻性队列研究(加拿大工作组分类II - 2)。
一家三级腹腔镜手术转诊中心。
总共73例盆腔器官脱垂患者在术前和术后阶段接受评估。评估包括根据巴登 - 沃克脱垂分类系统对其功能症状和盆腔器官脱垂程度的描述。患者在术后阶段接受了中位时间为19个月(范围12 - 41个月)的随访。
2004年1月至2006年9月期间采用网片进行腹腔镜盆腔器官侧方悬吊术。
64例(87.7%)患者获得了满意的解剖学结果。未报告重大并发症或术后盆腔感染。所有手术均无需开腹。
使用网片进行腹腔镜侧方悬吊术能有效治疗盆腔器官脱垂,且发病率低。