Dimitri Sarlos, Thomas Aigmueller, Gabriel Schaer
Department of Obstetrics and Gynecology, Kantonsspital Aarau, 5001, Aarau, Switzerland,
Int Urogynecol J. 2014 Nov;25(11):1591-2. doi: 10.1007/s00192-014-2436-4. Epub 2014 Jun 4.
Sacrocolpopexy is considered a gold standard to cure apical prolapse, and since the US Food and Drug Administration (FDA) warning about complications of vaginal mesh surgery, the technique is increasingly used. Surgeons perform sacrocolpopexy in different variations, some by attaching the mesh to the apical third of the vagina, and others by applying the mesh anteriorly to the level of the bladder neck and posteriorly to the inner part of the perineum. The different techniques are neither standardized nor evaluated by randomized controlled trials.
This video aims to provide insight into the technique of deep placement of anterior and posterior mesh.
The video shows that deep mesh placement is feasible and can be performed with standardized parameters. The technique is based on 12 years of experience with laparoscopic sacrocolpopexy; 1- and 5-year results, published in this journal, show it is safe and provides good long-term results.
骶棘韧带固定术被认为是治疗顶端脱垂的金标准，自美国食品药品监督管理局（FDA）就阴道网片手术并发症发出警告以来，该技术的应用越来越广泛。外科医生进行骶棘韧带固定术的方式各不相同，有些是将网片附着于阴道顶端三分之一处，另一些则是将网片置于膀胱颈水平前方并与会阴内部后方。这些不同的技术既未标准化，也未通过随机对照试验进行评估。
本视频旨在深入介绍前后网片深层放置技术。
该视频表明，网片深层放置是可行的，且可按照标准化参数进行操作。该技术基于12年的腹腔镜骶棘韧带固定术经验；发表于本期刊的1年和5年随访结果表明，该技术安全且能提供良好的长期效果。
