Tola Esra Nur, Erdemoğlu Evrim, Erdemoğlu Ebru
Süleyman Demirel Univercity Faculty of Medicine, Department of Gyneacology and Obstetrics, Isparta, Turkey.
Süleyman Demirel Univercity Faculty of Medicine, Department of Gyneacologic Oncology, Isparta, Turkey.
Turk J Obstet Gynecol. 2015 Sep;12(3):168-172. doi: 10.4274/tjod.43179. Epub 2015 Sep 15.
Pelvic organ prolapse (POP) is defined as the protrusion of pelvic organs to the vagen and is an important health problem in patients of older age. Today, most women with POP prefer uterine sparing surgery due to the changes in lifestyle, beliefs, pregnancy desire, and understanding the role of the uterus and cervix in sexual function. Therefore, the need for newer surgical procedures that involve less invasive surgery, reduced intraoperative and postoperative risks, and a faster healing time in POP surgery have gained importance. Vaginal, abdominal, laparoscopic, and robotic methods are defined in uterine preserving surgery but there is not yet a consensus on which of them should be chosen. In choosing the proper technique, the patient's general status, accompanying disease, correct indication, and the surgeon's experience are all important. In our practice we prefer laparoscopic mesh sacrohysteropexy in patients who prefer to preserve their uterus because of the lower costs and high success rates compared with abdominal and robotic techniques.
盆腔器官脱垂（POP）被定义为盆腔器官向阴道突出，是老年患者的一个重要健康问题。如今，由于生活方式、观念、生育意愿的改变以及对子宫和宫颈在性功能中作用的认识，大多数盆腔器官脱垂的女性更倾向于保留子宫的手术。因此，在盆腔器官脱垂手术中，需要更新的手术方法，这些方法应涉及更少的侵入性手术、降低术中及术后风险，并具有更快的愈合时间，这一点变得越来越重要。在保留子宫的手术中定义了阴道、腹部、腹腔镜和机器人辅助等方法，但对于应选择哪种方法尚未达成共识。在选择合适的技术时，患者的一般状况、伴随疾病、正确的适应症以及外科医生的经验都很重要。在我们的实践中，对于因保留子宫而更倾向于保留子宫的患者，我们更倾向于腹腔镜网片骶骨子宫固定术，因为与腹部和机器人辅助技术相比，其成本更低且成功率更高。
