Department of Gynecology and Obstetrics, CHU Limoges, 8 avenue Dominique Larrey, 87042 Limoges Cedex, France.
Department of Gynecology and Obstetrics, CHU Limoges, 8 avenue Dominique Larrey, 87042 Limoges Cedex, France.
J Gynecol Obstet Hum Reprod. 2022 Jan;51(1):102234. doi: 10.1016/j.jogoh.2021.102234. Epub 2021 Sep 24.
Native tissue cystocele repair has been the cornerstone of prolapse surgery, especially since the learned societies warned clinicians and patients about serious mesh related complications and recommend a vaginal route without prosthesis in first intention. Surgical techniques mainly consist in anterior colporraphy, vaginal patch plastron and para vaginal repair. However, in case of vaginal patch plastron, the vagina left in contact with the bladder is a material of much better quality than colporraphy alone. The multiplication of native tissues, generating post-operative fibrosis, associated with anchorage on a strong ligamentous structure, allows to expect better outcomes compared to anterior colporraphy. Indeed, vaginal plastron corrects median cystoceles with a vaginal strip as well as lateral cystoceles thanks to bilateral paravaginal suspension. Thereby, vaginal patch plastron appears to be a good compromise between the 3 autologous techniques with median and paralateral repair We aimed to describe the surgical technique of the vaginal patch plastron for vaginal native tissue repair for cystocele.
经阴道固有组织膀胱膨出修补术一直是脱垂手术的基石，尤其是在专业学会警告临床医生和患者存在严重网片相关并发症并建议在初次治疗时采用无假体的阴道入路之后。手术技术主要包括阴道前壁修补术、阴道补片成形术和阴道旁修补术。然而，在使用阴道补片成形术的情况下，与阴道前壁修补术相比，与膀胱保持接触的阴道是一种质量更好的材料。固有组织的增殖，产生术后纤维化，并在强有力的韧带结构上固定，这使得术后结果预期优于阴道前壁修补术。事实上，阴道补片通过阴道条带纠正了中央型膀胱膨出，同时通过双侧阴道旁悬吊纠正了侧方膀胱膨出。因此，阴道补片成形术似乎是 3 种自体技术（中央型和侧方型修复）的良好折中方案。我们旨在描述阴道补片成形术治疗阴道固有组织膀胱膨出的手术技术。
