Loertzer H, Ringert R H, Fechner A, Thelen P, Kümmel C, Strauss A
Klinik für Urologie, Medizinische Fakultät, Georg-August-Universität, Robert-Koch-Strasse 40, 37075, Göttingen, Germany.
Urologe A. 2009 Sep;48(9):1038-43. doi: 10.1007/s00120-009-2080-7.
Several surgical methods are possible when aiming at reconstruction of pelvic organ prolapse in women, and the experienced surgeon implements the knowledge gained from open, laparoscopic, and vaginal techniques. These feature different rates of success and relapse as well as different complication risks. Because of the accumulating morbidity of aging patients, there is a search for a safe minimally invasive technique. With the advent of synthetic meshes, surgeons have used them frequently and often uncritically for reconstruction of the female pelvic floor. In these cases the vaginal approach is preferred as opposed to alternative techniques, as it is less invasive and allows for better convalescence. Furthermore, this approach leads to low complication and relapse rates even when synthetic meshes are omitted.
针对女性盆腔器官脱垂的重建，有几种手术方法可供选择，经验丰富的外科医生会运用从开放手术、腹腔镜手术和阴道手术技术中获得的知识。这些手术方法的成功率、复发率以及并发症风险各不相同。由于老年患者的发病率不断增加，人们一直在寻找一种安全的微创技术。随着合成网片的出现，外科医生经常且不加批判地使用它们来重建女性盆底。在这些情况下，与其他技术相比，阴道手术方法更受青睐，因为它侵入性较小，恢复情况更好。此外，即使不使用合成网片，这种方法导致的并发症和复发率也较低。
