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勒福阴道闭合术:面向女性盆腔外科医生的分步模拟视频

LeFort colpocleisis: a step-by-step simulation video for Female Pelvic Surgeons.

作者信息

Petrikovets Andrey, Fisher Theresa, Krudy Christina, Sheyn David, Mangel Jeffrey, Mahajan Sangeeta T

机构信息

Department of Female Pelvic Medicine & Reconstructive Surgery, Urology Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.

Department of Urogynecology and Pelvic Reconstructive Surgery, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA.

出版信息

Int Urogynecol J. 2018 Jun;29(6):917-919. doi: 10.1007/s00192-017-3543-9. Epub 2017 Dec 26.

DOI:10.1007/s00192-017-3543-9
PMID:29279969
Abstract

INTRODUCTION AND HYPOTHESIS

LeFort colpocleisis is a minimally invasive surgical option for patients with pelvic organ prolapse who no longer desire sexual activity. Pelvic surgeons have limited exposure to this procedure during their training, and are therefore less likely to offer this procedure to their patients.

METHODS

We use a split screen live action surgery, side by side with a low cost 3D model of a prolapse to describe a LeFort colpocleisis step by step.

RESULTS

This video is an easily reproducible guide to the steps and surgical techniques necessary to successfully perform a LeFort colpocleisis. The simulation model can be used to educate and train those performing female pelvic surgery.

CONCLUSION

Pelvic surgeons should be able to offer LeFort colpocleisis to their patients. This video may be used to facilitate the understanding and reproducibility of the procedure.

摘要

引言与假设

勒福阴道封闭术是一种针对不再有性活动需求的盆腔器官脱垂患者的微创手术选择。盆腔外科医生在培训期间接触该手术的机会有限,因此向患者提供此手术的可能性较小。

方法

我们采用分屏实时手术,并与低成本的脱垂三维模型并排展示,逐步描述勒福阴道封闭术。

结果

该视频是成功实施勒福阴道封闭术所需步骤和手术技巧的易于复制的指南。该模拟模型可用于教育和培训进行女性盆腔手术的人员。

结论

盆腔外科医生应能够为患者提供勒福阴道封闭术。该视频可用于促进对该手术的理解和复制。

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本文引用的文献

1
Long-term follow-up after LeFort colpocleisis: patient satisfaction, regret rate, and pelvic symptoms.勒福阴道闭合术后的长期随访:患者满意度、后悔率及盆腔症状
Menopause. 2016 Jun;23(6):621-5. doi: 10.1097/GME.0000000000000604.
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Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery.压力性尿失禁或盆腔器官脱垂手术的终身风险。
Obstet Gynecol. 2014 Jun;123(6):1201-1206. doi: 10.1097/AOG.0000000000000286.
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Perceptions and practice patterns of general gynecologists regarding urogynecology and pelvic reconstructive surgery.
J Med Educ Curric Dev. 2018 Sep 20;5:2382120518801582. doi: 10.1177/2382120518801582. eCollection 2018 Jan-Dec.
普通妇科医生对女性盆底重建外科及泌尿妇科的认知和诊疗模式
Female Pelvic Med Reconstr Surg. 2013 Jul-Aug;19(4):225-9. doi: 10.1097/SPV.0b013e3182995107.
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Urogynecology training and practice patterns after residency.尿失禁妇科培训和实践模式后的居住。
J Surg Educ. 2012 Jan-Feb;69(1):77-83. doi: 10.1016/j.jsurg.2011.06.007. Epub 2011 Aug 24.
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Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery.老年女性生殖器脱垂手术后的生活质量:闭塞性手术与重建性手术
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jul;18(7):799-806. doi: 10.1007/s00192-006-0240-5. Epub 2006 Nov 17.
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Colpocleisis: a review.阴道闭合术:综述
Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):261-71. doi: 10.1007/s00192-005-1339-9. Epub 2005 Jun 28.
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Total colpocleisis for severe pelvic organ prolapse.重度盆腔器官脱垂的全阴道封闭术
J Reprod Med. 2003 Sep;48(9):703-6.
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Procedures for pelvic organ prolapse in the United States, 1979-1997.1979 - 1997年美国盆腔器官脱垂的治疗方法
Am J Obstet Gynecol. 2003 Jan;188(1):108-15. doi: 10.1067/mob.2003.101.
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Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity.女性健康倡议中的盆腔器官脱垂:重力与妊娠次数
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