Cosma Stefano, Preti Mario, Mitidieri Marco, Petruzzelli Paolo, Possavino Federica, Menato Guido
Department of Gynecology and Obstetrics, University of Turin, Turin, Italy.
Int Urogynecol J. 2011 May;22(5):611-9. doi: 10.1007/s00192-010-1350-7. Epub 2011 Jan 14.
Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.
经阴道后路吊带成形术（PIVS）是一种旨在悬吊阴道穹窿的微创手术。我们的研究评估了PIVS长期随访的疗效和并发症。
118例连续女性因盆腔器官脱垂定量分期3期或4期阴道顶端脱垂（VCP；25例）或子宫阴道脱垂（UVP；93例）接受了PIVS手术。0期或1期的阴道顶端壁被视为治愈。
平均随访时间为58.6个月（范围24 - 84个月）。PIVS的成功率为96.6%。发生了约8.5%的网片侵蚀（VCP患者中为20%，UVP患者中为5.4%）、2.5%的阴道会阴瘘和3.4%的阴道旁血肿。单丝聚丙烯网片未发生侵蚀和瘘管。
PIVS似乎是治疗VCP和UVP的一种安全有效的手术。阴道侵蚀主要见于使用多丝聚丙烯网片治疗的VCP患者。
