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腹腔镜保守手术治疗阴道分娩后产褥期并发子宫脱垂:病例系列

A Laparoscopic Conservative Surgery Approach to Puerperium Complicated by Uterine Prolapse After Vaginal Delivery: A Case Series.

作者信息

Seca Marta, Algeri Paola, Colonna Laura, Mastrocola Nunzia, Von Wunster Silvia

机构信息

Department of Obstetrics and Gynaecology, ASST-Bergamo est, Bolognini Hospital, Seriate, Bergamo, Italy.

University of Milano Bicocca, Monza, Monza e Brianza, Italy.

出版信息

J Family Reprod Health. 2023 Mar;17(1):58-61. doi: 10.18502/jfrh.v17i1.11980.

Abstract

OBJECTIVE

In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele after vaginal delivery.

CASE REPORT

We presented a successful case series of three patients with III or IV degrees of hysterocele who were treated conservatively with an uncomplicated laparoscopic hysteropexy within a year of delivery. Given our patients' young ages and the fact that they all have infant children at home, we chose a conservative surgery performed laparoscopically due to the lower surgical impact and quicker return to normal life. All surgical procedures were successfully performed, without complications, with a prompt recovery of all women and with a regular subsequent follow-up, without recurrence nowadays.

CONCLUSION

For young women who have not terminated their desire to bear children, laparoscopic hysterepexy may be a safe and effective surgical option.

摘要

目的

在有生育能力的女性中,子宫膨出是一种罕见病症。生殖器脱垂可通过腹腔镜子宫骶骨固定术进行保守治疗。本文旨在介绍一系列经阴道分娩后子宫膨出患者接受腹腔镜子宫固定术的成功病例。

病例报告

我们呈现了一个成功的病例系列,三名患有III度或IV度子宫膨出的患者在分娩后一年内接受了简单的腹腔镜子宫固定术保守治疗。鉴于我们的患者年龄较轻且家中均有婴幼儿,考虑到手术影响较小且能更快恢复正常生活,我们选择了腹腔镜下的保守手术。所有手术均成功完成,无并发症发生,所有女性均迅速康复,随后进行了定期随访,目前无复发情况。

结论

对于尚未终止生育意愿的年轻女性,腹腔镜子宫固定术可能是一种安全有效的手术选择。

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