经阴道网片手术治疗腹式骶骨阴道固定术后复发性盆腔器官脱垂
Trans-vaginal mesh surgery for management of recurrent pelvic organ prolapse following abdominal sacrocolpopexy.
作者信息
Lo Tsia-Shu, Ibrahim Rami, Karim Nazura Bt, Nawawi Enie Akhtar, Uy-Patrimonio Ma Clarissa
机构信息
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Medical Center, Keelung, Taiwan, Republic of China; Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, Republic of China; Chang Gung University, School of Medicine, Taoyuan, Taiwan, Republic of China.
Fellow of the Division of Urogynecology, Department of Obstetrics & Gynaecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Albashir Hospital, Amman, Jordan.
出版信息
Taiwan J Obstet Gynecol. 2018 Apr;57(2):311-314. doi: 10.1016/j.tjog.2018.02.023.
OBJECTIVE
To evaluate the outcome of transvaginal mesh surgery as a management of recurrent pelvic organ prolapse, in patients previously treated with sacrocolpopexy.
CASE REPORT
A series of three patients who developed recurrent pelvic organ prolapse more than 9 years after sacrocolpopexy. A 50-year-old and two 77-year-old patients who presented with recurrent pelvic organ prolapse at 9, 15 and 17 years, respectively after the primary abdominal sacrocolpopexy were managed by transvaginal mesh surgery.
CONCLUSION
Management of recurrent pelvic organ prolapse using transvaginal mesh would be an option for patients treated previously by sacrocolpopexy.
目的
评估经阴道网片手术治疗既往接受过骶骨阴道固定术的复发性盆腔器官脱垂患者的疗效。
病例报告
一组3例患者在骶骨阴道固定术后9年以上出现复发性盆腔器官脱垂。1例50岁和2例77岁的患者分别在初次腹部骶骨阴道固定术后9年、15年和17年出现复发性盆腔器官脱垂，均接受了经阴道网片手术治疗。
结论
对于既往接受过骶骨阴道固定术的患者，经阴道网片治疗复发性盆腔器官脱垂是一种选择。
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