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后直肌筋膜膨出(PREFAP)修复:经阴道自然腔道内镜手术治疗盆腔器官脱垂的一种新的固有组织方法。

Posterior rectus fascia prolapse (PREFAP) repair: a new native tissue approach to pelvic organ prolapse via vaginal natural orifice transluminal endoscopic surgery.

机构信息

Department of Obstetrics and Gynaecology, Imelda Hospital, Bonheiden, Belgium.

Department of Development and Regeneration, Faculty of Medicine, Group Biomedical Sciences, KU Leuven, Louvain, Belgium.

出版信息

Arch Gynecol Obstet. 2023 Jun;307(6):2041-2045. doi: 10.1007/s00404-023-07021-9. Epub 2023 Apr 12.

Abstract

INTRODUCTION

Pelvic organ prolapse (POP) is a common condition in women. During lifetime, up to 40% of all women will develop (POP).

MATERIALS AND METHODS

Between June and December 2021, five patients were successfully treated via vNOTES Posterior Rectus Fascia Prolapse ( PREFAP) repair. No intra-operative complications or conversions occurred.

CONCLUSION

In this study we demonstrated a new technique for prolapse repair, harvesting the autologous posterior rectus fascia sheath via vaginal natural orifice transluminal endoscopic surgery (vNOTES) as an alternative for a synthetic mesh.

摘要

简介

盆腔器官脱垂(POP)是女性的常见病症。在女性一生中,多达 40%的人会发生(POP)。

材料和方法

2021 年 6 月至 12 月,5 名患者成功接受了经阴道NOTES 后直肌筋膜膨出(PREFAP)修复术。无术中并发症或中转开腹。

结论

在这项研究中,我们展示了一种新的脱垂修复技术,通过阴道自然腔道内镜手术(vNOTES)采集自体后直肌筋膜鞘作为合成网片的替代物。

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