von Pechmann Walter S, Aungst Matthew J, Gruber Daniel D, Ghodsi Pari M, Cruess David F, Griffis Kenneth R
From the *Department of Obstetrics and Gynecology, George Washington University School of Medicine; †Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC; ‡Department of Preventative Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD; and §Urogynecology and Reconstructive Pelvic Surgery, Kaiser Permanente, Fontana, CA.
Female Pelvic Med Reconstr Surg. 2011 May;17(3):115-9. doi: 10.1097/SPV.0b013e318216379d.
: The primary objective of this pilot study was to compare the short-term anatomic outcomes and complication rates of vaginally assisted laparoscopic sacrocolpopexy (VALS) with those of conventional laparoscopic sacrocolpopexy (LS) in patients undergoing concurrent hysterectomy. The secondary objective was to compare operative times of the 2 different techniques.
: This is a retrospective pilot study comparing VALS-a method using transvaginal mesh attachment to the vaginal apex-to conventional LS in patients undergoing concurrent hysterectomy.
: Forty-four women underwent VALS, and 26 women underwent LS. There was no significant difference in intraoperative complication rates (2.3% vs 3.8%, not statistically significant), postoperative complication rates (4.5% vs 0.0%, P = 0.526), mesh extrusion rates (2.3% vs 0%, not statistically significant), or postoperative pelvic organ prolapse quantification scores. The mean total operative time was 55 minutes shorter for the VALS group (215.2 [SD, 41.0] minutes) than the LS group (269.7 [SD, 55.6] minutes; P < 0.001).
: There was no significant difference in short-term anatomic outcomes or complication rates between groups. Vaginally assisted LS was associated with significantly shorter operative times than conventional LS.
本初步研究的主要目的是比较在同时进行子宫切除术的患者中，阴道辅助腹腔镜骶骨阴道固定术（VALS）与传统腹腔镜骶骨阴道固定术（LS）的短期解剖学结果和并发症发生率。次要目的是比较这两种不同技术的手术时间。
这是一项回顾性初步研究，比较VALS（一种使用经阴道网片附着于阴道顶端的方法）与同时进行子宫切除术患者的传统LS。
44名女性接受了VALS，26名女性接受了LS。术中并发症发生率（2.3%对3.8%，无统计学意义）、术后并发症发生率（4.5%对0.0%，P = 0.526）、网片挤出率（2.3%对0%，无统计学意义）或术后盆腔器官脱垂量化评分均无显著差异。VALS组的平均总手术时间（215.2[标准差，41.0]分钟）比LS组（269.7[标准差，55.6]分钟）短55分钟；P < 0.001。
两组之间的短期解剖学结果或并发症发生率无显著差异与传统LS相比，阴道辅助LS的手术时间明显更短。
