Allier-Pinto S, Balladur A, Salet Lizee D, Lefranc J P, Blondon J
Service chirurgical et gynécologique, Hôpital de la Salpétrière, Paris.
J Chir (Paris). 1988 Dec;125(12):737-43.
Bologna's procedure allows the curative or preventive treatment for urinary stress incontinence during surgical cure of prolapse with large cystocele (2nd or 3rd degree). An infra-cervical sling is created with 2 vaginal bands dissected from the anterior colpocele, passed through the retropubic space on either side of the bladder neck and fixed to the abdominal wall, after making a suprapubic approach to the aponeurosis of the rectus abdominis muscle. This colposuspension technique, performed via a mixed approach, is generally accompanied by vaginal hysterectomy and colpectomy designed to treat the various elements of the prolapse. This operation is easily reproducible and the postoperative course is generally uneventful. The intermediate term anatomical and functional results are very satisfactory in women over the age of 60 years. There is not sufficient follow-up at the present time to consider this procedure for young women.
博洛尼亚手术可在伴有巨大膀胱膨出（二度或三度）的子宫脱垂手术治疗期间，对压力性尿失禁进行治疗或预防。通过从阴道前壁膨出部分分离出两条阴道带，经耻骨上途径到达腹直肌腱膜后，在膀胱颈两侧穿过耻骨后间隙并固定于腹壁，从而形成宫颈下吊带。这种经混合途径实施的阴道膀胱悬吊术，通常会同时进行阴道子宫切除术和阴道前壁切除术，以治疗脱垂的各个部分。该手术易于重复操作，术后病程通常平稳。对于60岁以上的女性，中期的解剖和功能结果非常令人满意。目前尚无足够的随访数据来考虑将此手术应用于年轻女性。
