Campagna Giuseppe, Panico Giovanni, Morciano Andrea, Vacca Lorenzo, Anchora Luigi Pedone, Gallucci Valeria, Cervigni Mauro, Ercoli Alfredo, Scambia Giovanni
Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy.
Department of Obstetrics and Gynaecology, Pia Fondazione "Cardinale G. Panico", Tricase, Italy.
Eur J Obstet Gynecol Reprod Biol. 2018 Feb;221:160-165. doi: 10.1016/j.ejogrb.2017.12.043. Epub 2018 Jan 2.
The aim of the study was to report our preliminary experience of supracervical 2 hysterectomy followed by sacral colpopexy performed with the Percuvance ™ PSS in terms of feasibility, effectiveness and safety.
Between Jan 2017 and Feb 2017 10 patients affected by POP were enrolled in the present study. All patients undergoing supracervical hysterectomy followed by sacral colpo-cervicopexy with the Percuvance ™ PSS.
The reported series consisted of 10 patients undergoing supracervical hysterectomy followed by sacral colpopexy with a median age of 63 years (range 55-71 years) and a median BMI (body mass index) of 24 (range 21-26). A median operative time of 123 min (range 103-134 min) and a median estimated blood loss (EBL) of 40 ml (range 20-60 ml) were registered. No conversions to standard laparoscopy or laparotomy were required and no intraoperative complications occurred. At the discharge all patients were completely satisfied with the cosmetic result and postoperative pain control. During 3 months urogynecological follow-up no patient showed surgical anatomic failure (>2 POP-Q stage)and the degree of overall satisfaction of the cosmetic results was confirmed by the surgeon and the patient equally.
The PSS supracervical hysterectomy plus sacral colpopexy is a feasible and effective approach with good results in terms of operative time, cosmesis, postoperative pain and length of hospitalization.
本研究旨在报告我们使用Percuvance™ PSS进行宫颈上子宫切除术联合骶骨阴道固定术在可行性、有效性和安全性方面的初步经验。
2017年1月至2017年2月，10例盆腔器官脱垂患者纳入本研究。所有患者均接受宫颈上子宫切除术，随后使用Percuvance™ PSS进行骶骨阴道宫颈固定术。
报告的系列包括10例接受宫颈上子宫切除术联合骶骨阴道固定术的患者，中位年龄63岁（范围55 - 71岁），中位体重指数（BMI）为24（范围21 - 26）。记录的中位手术时间为123分钟（范围103 - 134分钟），中位估计失血量（EBL）为40毫升（范围20 - 60毫升）。无需转为标准腹腔镜手术或开腹手术，术中无并发症发生。出院时，所有患者对美容效果和术后疼痛控制均完全满意。在3个月的泌尿妇科随访中，无患者出现手术解剖失败（POP - Q分期>2期），外科医生和患者对美容效果的总体满意度相当。
PSS宫颈上子宫切除术加骶骨阴道固定术是一种可行且有效的方法，在手术时间、美容效果、术后疼痛和住院时间方面均有良好结果。
