Abdelazim Ibrahim A, Shikanova Svetlana, Karimova Bakyt, Zhurabekova Gulmira, Sarsembayev Mukhit, Starchenko Tatyana
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Department of Obstetrics and Gynecology No. 1, Marat Ospanov, West Kazakhstan State Medical University, Aktobe, Kazakhstan.
J Family Med Prim Care. 2019 Jan;8(1):316-318. doi: 10.4103/jfmpc.jfmpc_405_18.
Surgical treatment of uterine prolapse in woman who wishes to preserve her uterus remains a major surgical challenge. This case series describes a new surgical technique for uterine suspension in women who wish to preserve their uteri, using the Mersilene tape as an artificial uterosacral ligament to suspend the uterus to the sacral promontory. Four women with genital prolapse (two with stage 1 uterine prolapse and two with stage 2 uterine prolapse and stage 1 vaginal walls prolapse) who requested a uterine conserving procedure were offered I. Adelazim sacrohysteropexy technique as a new surgical option for treatment of the uterine prolapse. This surgical technique is formed of three basic steps: (1) exposure of the anterior longitudinal ligament over the sacral promontory and exposure of the uterosacral ligaments on the back of the uterine cervix; (2) fixation of the Mersilene tape as Y-shaped artificial uterosacral ligament extended from the sacral promontory to the back of the uterine cervix; and (3) closure of the incised visceral peritoneum over the artificial Y-shaped uterosacral ligament. The mean operative duration of was 50.5 ± 8.4 min and the mean estimated blood loss was 480 ± 67.8 ml. No intraoperative or postoperative complications or recurrence of the uterine prolapse were recorded in the studied cases. is an effective uterine suspension technique for treatment of uterine prolapse in women who wish to preserve their uteri, using the Mersilene tape as an artificial uterosacral ligament to suspend the uterus to the sacral promontory.
对于希望保留子宫的女性，子宫脱垂的外科治疗仍然是一项重大的手术挑战。本病例系列描述了一种针对希望保留子宫的女性的子宫悬吊新手术技术，使用Mersilene带作为人工子宫骶韧带将子宫悬吊至骶岬。四名有生殖器脱垂的女性（两名患有1期子宫脱垂，两名患有2期子宫脱垂和1期阴道壁脱垂），她们要求进行保留子宫的手术，被提供了I. Adelazim骶子宫固定术作为治疗子宫脱垂的一种新手术选择。这种手术技术由三个基本步骤组成：（1）暴露骶岬上方的前纵韧带以及子宫颈后方的子宫骶韧带；（2）将Mersilene带固定为从骶岬延伸至子宫颈后方的Y形人工子宫骶韧带；（3）在人工Y形子宫骶韧带上关闭切开的脏腹膜。平均手术时长为50.5±8.4分钟，平均估计失血量为480±67.8毫升。在所研究的病例中，未记录到术中或术后并发症或子宫脱垂复发情况。I. Adelazim骶子宫固定术是一种有效的子宫悬吊技术，用于治疗希望保留子宫的女性的子宫脱垂，使用Mersilene带作为人工子宫骶韧带将子宫悬吊至骶岬。
