Hoskey Kay Ann, Shippey Stuart H, Handa Victoria L
Greater Baltimore Medical Center, Johns Hopkins University, Baltimore, MD, USA.
Int Urogynecol J. 2012 Mar;23(3):371-3. doi: 10.1007/s00192-011-1541-x. Epub 2011 Aug 19.
Recurrent pelvic organ prolapse occurs rarely after obliterative procedures. The optimal surgical approach for therapy is unknown. We describe a case of recurrent prolapse after LeFort colpocleisis. The patient presented with stage III prolapse through the lateral vaginal channel. At surgery, the prolapse was repaired using a modified repeat colpocleisis and repeat perineorrhaphy. Transvaginal revision via modified repeat colpocleisis should be considered for treatment of recurrent pelvic organ prolapse after LeFort colpocleisis.
闭塞性手术很少发生复发性盆腔器官脱垂。治疗的最佳手术方法尚不清楚。我们描述了一例经阴道封闭术后复发性脱垂的病例。患者表现为通过阴道侧沟的III度脱垂。手术时，采用改良的重复经阴道封闭术和重复会阴修补术修复脱垂。对于经阴道封闭术后复发性盆腔器官脱垂，应考虑经改良重复经阴道封闭术进行经阴道修复。
