Department of Gynecological Surgery, CHU Estaing, 1 rue Lucie et, Raymond Aubrac, Clermont Ferrand 63100, France.
Department of Obstetrics and Gynecology, Francois Quesnay Hospital, 2 boulevard Sully, 78201 Mantes-la-Jolie, France.
J Gynecol Obstet Hum Reprod. 2023 Nov;52(9):102661. doi: 10.1016/j.jogoh.2023.102661. Epub 2023 Aug 29.
Laparoscopic hysteropexy is a surgery of choice for woman with pelvic organ prolapse wishing to retain fertility. There are few cases of pregnancies after this surgery as standard practice recommends to fulfil their family project before undergoing laparoscopic prolapse surgery. Our operative technique involves the use of 2 polypropylene meshes, one placed anteriorly and one posteriorly, they are attached to the cervix and together through the cervix. There is no compression on the uterine arteries as we do not encircle the cervix and there is no concern on blood flow to the uterus. The patient had a gestational diabetes with an oversize baby in breech position. A caesarean section was planned due to the babies' position and weight. The patient delivered a healthy baby and 10 months after the surgery the patient did not have recurrence of pelvic organ prolapse.
腹腔镜子宫固定术是一种选择，适用于希望保留生育能力的患有盆腔器官脱垂的女性。这种手术后很少有怀孕的情况，因为标准的做法是建议在进行腹腔镜脱垂手术前完成家庭计划。我们的手术技术包括使用 2 个聚丙烯网片，一个放在前面，一个放在后面，它们附着在子宫颈上，并通过子宫颈一起固定。由于我们没有环绕子宫颈，所以不会对子宫动脉造成压迫，也不会对子宫的血流造成担忧。该患者患有妊娠糖尿病，胎儿臀位且超重。由于胎儿的位置和体重，计划进行剖宫产。患者分娩了一个健康的婴儿，并且在手术后 10 个月，患者没有盆腔器官脱垂复发的情况。
