Tirnovanu Mihaela-Camelia, Luţuc Monica Holicov, Mătrescu Angelica Ciucanu, Onofriescu M, Dalas Ecaterina
Rev Med Chir Soc Med Nat Iasi. 2015 Jan-Mar;119(1):147-53.
Several combined surgical procedures have been described, but connective tissue deficiency required the use of some "prostheses" instead of conventional methods based exclusively on correction by suture.
Assessment of the techniques used for the repair of stress urinary incontinence (SUI) and anterior vaginal wall prolapse, as well as the incidence of intraoperative and postoperative incidents and complications.
The study was conducted between January 2007 and December 2011 at the 1st Clinic of Obstetrics and Gynecology Iaşi. The diagnosis was made on clinical criteria. Menopausal patients received estrogens prior to surgery. Vaginal meshes were used only in patients with grade III and IV cystocele. The patients were followed up at 1 1/2, 6, 12 and 36 months (first local evaluation for meshes at 2 weeks after surgery).
During the study interval 400 patient with a mean age of 57.45 ± 5 years (range 29-81 years) were surgically treated in our clinic. Of these, 150 women underwent classic surgery, 243 women transobturator tape procedure-TOT (107 TOT alone for SUI and 136 TOT combined with classic surgery), 4 women ten- sion-free vaginal tape (TVT) procedure, and 3 patients prepubic and transobturator mesh. In 12 patients meshes with 2 or 4 arms for cystocele (7 and 5 cases, respectively) were used. Vaginal mesh extrusion was recorded in 4 patients.
The use of prostheses allows a better standardization of procedures, shortening of surgical time and a better postoperative recovery, the patients being able to resume their normal activities.
已经描述了几种联合手术方法，但由于存在结缔组织缺损，需要使用一些“假体”，而不是仅基于缝合矫正的传统方法。
评估用于治疗压力性尿失禁（SUI）和阴道前壁脱垂的技术，以及术中及术后事件和并发症的发生率。
该研究于2007年1月至2011年12月在雅西第一妇产科诊所进行。根据临床标准进行诊断。绝经患者在手术前接受雌激素治疗。仅在III级和IV级膀胱膨出患者中使用阴道网片。在术后1.5个月、6个月、12个月和36个月对患者进行随访（术后2周对网片进行首次局部评估）。
在研究期间，我们诊所对平均年龄为57.45±5岁（范围29 - 81岁）的400例患者进行了手术治疗。其中，150名女性接受了经典手术，243名女性接受了经闭孔尿道中段吊带术（TOT）（107例仅行TOT治疗SUI，136例TOT联合经典手术），4名女性接受了无张力阴道吊带术（TVT），3例患者接受了耻骨后和经闭孔网片修补术。12例患者使用了用于膀胱膨出的双臂或四臂网片（分别为7例和5例）。4例患者出现阴道网片外露。
使用假体可使手术程序更好地标准化，缩短手术时间并实现更好的术后恢复，患者能够恢复正常活动。
