Gadonneix Pierre, Campagna Giuseppe, Villet Richard
Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France.
Int Urogynecol J. 2012 May;23(5):651-3. doi: 10.1007/s00192-011-1606-x. Epub 2011 Nov 26.
We report a case of a pregnancy and follow the delivery of a young woman who previously underwent a laparoscopic sacral colpopexy (LSC) for pelvic organ prolapse (POP). A 38-year-old woman with POP desires pregnancy who after unsuccessful medical treatment with pessary underwent a laparoscopic uterine ventrosuspension (LUV). However, this procedure also failed and there was an immediate relapse. Thus, LSC was then performed. After which, she became pregnant culminating in elective caesarean delivery. The LUV failure was documented by a POP-Q classification and dynamic pelvic magnetic resonance (PMR) which was carried out 1 month after the surgery. When the same assessment was conducted after the LSC, it showed an optimal POP correction. The short-term post-delivery follow-up exhibited a small prolapse relapse, which remained stable 48 months after surgery as confirmed by a new PMR. Surgical correction of POP is possible in women with pregnancy desires. The result is variable and links to the POP stage and other surgical interventions.
我们报告了一例先前因盆腔器官脱垂（POP）接受腹腔镜骶骨阴道固定术（LSC）的年轻女性的妊娠及分娩情况。一名患有POP且渴望怀孕的38岁女性，在使用子宫托进行药物治疗失败后，接受了腹腔镜子宫腹悬吊术（LUV）。然而，该手术也失败了，且立即复发。于是，随后进行了LSC。此后，她怀孕并最终进行了择期剖宫产。LUV手术失败通过术后1个月进行的POP-Q分类和动态盆腔磁共振成像（PMR）得以记录。当在LSC术后进行相同评估时，结果显示POP得到了最佳矫正。产后短期随访显示有轻度脱垂复发，经新的PMR证实，术后48个月病情保持稳定。有妊娠意愿的女性进行POP手术矫正可行。结果存在差异，且与POP分期及其他手术干预有关。
