Department of Obstetrics and Gynecology, Mercer University School of Medicine, Mercer University, Savannah Campus, 720 East 71st Street, Savannah, GA, 31405, USA.
J Robot Surg. 2011 Dec;5(4):259-65. doi: 10.1007/s11701-011-0267-6. Epub 2011 Apr 17.
The aim of the study was to evaluate the short-term success of robotic sacrocolpopexy using the Quill bi-directional polydioxanone (PDO) suture. This was a retrospective observation study of women undergoing robotic sacrocolpopexy performed by a single surgeon between May 2008 and August 2010. Pelvic organ prolapse was determined using the pelvic organ prolapse quantification scale (POP-Q). Baseline exam were performed preoperatively and scheduled at 6 weeks, 3 months, and yearly thereafter. Treatment success defined as a POP-Q measurement of point C that did not descend for more than one-half the total vaginal length and a measurement for point Ba that was less than -1. A total of 36 patients were eligible for enrolment in the study. The mean age was 70 years (range 49-86 years), and mean body mass index was 27 kg/m(2) (range 19-41 kg/m(2)). The mean interval follow-up was 166 days (median 116; range 34-772 days). Anatomic success was 92% (33/36). In the short term, the Quill SRS PDO suture provided sufficient fixation of an Amid type I polypropylene mesh to the vagina to result in excellent anatomic success with only rare complications.
本研究旨在评估使用 Quill 双向聚二氧杂环已酮(PDO)缝线进行机器人骶骨阴道固定术的短期疗效。这是一项回顾性观察研究,纳入了 2008 年 5 月至 2010 年 8 月间由同一位外科医生实施的机器人骶骨阴道固定术患者。采用盆腔器官脱垂量化(POP-Q)系统评估盆腔器官脱垂。术前、术后 6 周、3 个月和每年进行基线检查。成功治疗定义为 POP-Q 测量的 C 点未下降超过阴道总长度的一半,B 点测量值小于-1。共有 36 名患者符合入组条件。平均年龄为 70 岁(范围 49-86 岁),平均体重指数为 27 kg/m²(范围 19-41 kg/m²)。平均随访时间为 166 天(中位数 116;范围 34-772 天)。解剖学成功率为 92%(33/36)。在短期内,Quill SRS PDO 缝线为阴道提供了足够的 Amid 型聚丙烯网片固定,从而获得了极好的解剖学成功率,仅有少数并发症。