Milani Rodolfo, Manodoro Stefano, Cola Alice, Palmieri Stefania, Reato Claudio, Frigerio Matteo
ASST Monza, San Gerardo Hospital, Monza, Italy.
AUSL Romagna, Infermi Hospital, Rimini, Italy.
Int Urogynecol J. 2018 Nov;29(11):1705-1707. doi: 10.1007/s00192-018-3686-3. Epub 2018 Jun 22.
Enterocele repair represents a challenge for pelvic surgeons. Surgical management implies enterocele sac removal. Subsequently, hernial port closure and adequate suspension may be achieved with Shull uterosacral ligament suspension (ULS).
A 55-year-old woman with symptomatic stage 3 enterocele was admitted for transvaginal uterosacral ligaments suspension according to the described technique.
Surgical procedure was successfully achieved without complications. Final examination revealed excellent pelvic supports and preservation of vaginal length. This step-by-step video tutorial may represent an important tool to improve surgical know-how.
Transvaginal uterosacral ligaments suspension provides a safe and effective technique for enterocele repair without the use of prosthetic materials. Identifying uterosacral ligaments, proper suture placement, and reapproximation of pubocervical and rectovaginal fascias with closure of the hernial port are the key points to achieve surgical success.
肠膨出修补术对盆腔外科医生而言是一项挑战。手术治疗意味着切除肠膨出囊。随后，通过舒尔子宫骶韧带悬吊术（ULS）可实现疝口闭合及充分悬吊。
一名55岁有症状的3期肠膨出女性患者，根据所述技术接受经阴道子宫骶韧带悬吊术。
手术顺利完成，无并发症。最终检查显示盆腔支持良好且阴道长度得以保留。这个分步视频教程可能是提高手术技能的重要工具。
经阴道子宫骶韧带悬吊术为肠膨出修补提供了一种安全有效的技术，无需使用人工材料。识别子宫骶韧带、正确放置缝线以及重新对合耻骨宫颈筋膜和直肠阴道筋膜并闭合疝口是手术成功的关键要点。
