Hospital Dormagen, Teaching Hospital of the University of Cologne, Dr. Geldmacherstr. 20, 41539 Dormagen, Germany.
Arch Gynecol Obstet. 2011 Sep;284(3):631-5. doi: 10.1007/s00404-010-1687-7. Epub 2010 Oct 13.
Obesity is a chronic disease which affects a substantial number of patients. It also increases a person's risk of genital prolapse. Conventional techniques of prolapse repair (sacropexy, transvaginal meshes and sacrospinal fixation) are used in very adipose women, but the effectiveness of this technique is sometimes restricted due to the difficultly of performing the surgery.
Here we will describe a new method of endoscopic prolapse surgery, which is especially developed for obese patients. The lateral parts of the iliopectineal ligament are used for a bilateral mesh fixation of the descended structures. We have already used this method successfully in 12 patients without any complications.
This method provides a stable and durable repair. The laparoscopic access reduces morbidity. The operation time for this procedure is approximately 50 min.
肥胖是一种慢性病，会影响大量患者。它还会增加一个人患生殖器官脱垂的风险。传统的脱垂修复技术（骶骨固定术、阴道网片和骶棘固定术）用于非常肥胖的女性，但由于手术难度，该技术的效果有时会受到限制。
在这里，我们将描述一种专门为肥胖患者设计的新的内镜脱垂手术方法。髂耻韧带的外侧部分用于双侧固定下降结构的网片。我们已经成功地在 12 名患者中使用了这种方法，没有任何并发症。
这种方法提供了稳定和持久的修复。腹腔镜入路降低了发病率。该手术的操作时间约为 50 分钟。
