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肾移植受者盆腔器官脱垂的腹腔镜治疗

Laparoscopic Management of Pelvic Organ Prolapse in a Kidney Transplant Recipient.

作者信息

Rouffilange Jean, Deslandes Maxime, Lopez Laurent

机构信息

Urology Department, CHU Pellegrin, Place Amélie Raba-léon, Bordeaux, France.

Urology Department, Clinique St Augustin, 114 Avenue d'Arès, Bordeaux, France.

出版信息

Urol Case Rep. 2017 May 22;13:145-146. doi: 10.1016/j.eucr.2017.04.010. eCollection 2017 Jul.

DOI:10.1016/j.eucr.2017.04.010
PMID:28567331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5440687/
Abstract

This is a report of a laparoscopic double mesh sacrocolpopexy performed in the setting of a 73-year-old woman carrying a grafted kidney. The patient had a vaginal prolapse of the anterior and posterior floor without urinary incontinence. Despite immunosuppression due to anti-rejection treatments and the presence of kidney transplant in left iliac fossa, laparoscopic intervention with the introduction of prosthetic material was conducted. The intervention showed no major difficulty in its implementation and the postoperative course was uneventful. The long-term follow-up will confirm the tolerance of a prosthetic material.

摘要

这是一篇关于为一名73岁携带移植肾的女性实施腹腔镜双网片骶骨阴道固定术的报告。该患者存在阴道前后壁脱垂，但无尿失禁。尽管因抗排斥治疗而接受免疫抑制且左髂窝有肾移植，但仍进行了引入假体材料的腹腔镜干预。该干预实施过程未显示出重大困难，术后病程平稳。长期随访将证实假体材料的耐受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/43b3e3beec11/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/eee657e098c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/0c8dde90aadd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/43b3e3beec11/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/eee657e098c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/0c8dde90aadd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/5440687/43b3e3beec11/gr3.jpg

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本文引用的文献

1
Pelvic organ prolapse management in female kidney transplant recipients.女性肾移植受者盆腔器官脱垂的处理。
J Urol. 2010 Sep;184(3):1064-8. doi: 10.1016/j.juro.2010.05.030.
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[Update on the epidemiology of genital prolapse].[生殖器脱垂流行病学的最新进展]
Prog Urol. 2009 Dec;19(13):907-15. doi: 10.1016/j.purol.2009.09.011. Epub 2009 Nov 4.
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Pelvic reconstructive surgery in renal transplant recipients.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20(5):551-5. doi: 10.1007/s00192-009-0820-2. Epub 2009 Feb 10.
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Prevalence of symptomatic pelvic floor disorders in US women.美国女性有症状盆底功能障碍的患病率。
JAMA. 2008 Sep 17;300(11):1311-6. doi: 10.1001/jama.300.11.1311.
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Prevalence and severity of urinary incontinence in kidney transplant recipients.
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