Ichikawa Masao, Akira Shigeo, Mine Katsuya, Ohuchi Nozomi, Iwasaki Nao, Kurose Keisuke, Takeshita Toshiyuki
Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Nippon Medical School, Tokyo, Japan.
J Nippon Med Sch. 2011;78(6):379-83. doi: 10.1272/jnms.78.379.
Mesh surgeries, such as sacrocolpopexy and transvaginal mesh surgery, are commonly used to treat pelvic organ prolapse. Although mesh surgeries have a high success rate, they are unsuitable for some patients. For a patient with pelvic organ prolapse and highly calcified multiple fibroids, we performed hybrid sacrocolpopexy combined with transvaginal mesh surgery with a method modified for the patient's condition. Three months after surgery, the results were highly satisfactory. This approach is simple, secure, and versatile for patients who are not good candidates for conventional mesh surgeries. This novel hybrid mesh surgery is an option for treating various types of pelvic organ prolapse.
网状物手术,如骶骨阴道固定术和经阴道网状物手术,常用于治疗盆腔器官脱垂。尽管网状物手术成功率很高,但它们并不适合某些患者。对于一名患有盆腔器官脱垂和高度钙化的多发性子宫肌瘤的患者,我们采用了改良的方法,将骶骨阴道固定术与经阴道网状物手术相结合。术后三个月,结果非常令人满意。对于那些不适合传统网状物手术的患者,这种方法简单、安全且通用。这种新型的混合网状物手术是治疗各种类型盆腔器官脱垂的一种选择。