Drutz H P, Cha L S
Am J Obstet Gynecol. 1987 Feb;156(2):387-92. doi: 10.1016/0002-9378(87)90289-4.
Two patients with massive procidentia and 13 patients with posthysterectomy vaginal vault prolapse underwent surgical procedures at Mount Sinai Hospital, Toronto, between May 1978 and February 1986. The standard procedure consisted of an abdominal sacropexy, with use of Marlex mesh to anchor the vaginal vault to the sacral promontory and retroperitonealization of the mesh. In 11 of the 15 patients, one or more concurrent procedures were performed at the same time. There were no intraoperative complications. One serious postoperative complication occurred, and one patient developed recurrent vault prolapse. Follow-up has been from 3 to 93 months with an average of 28 months. In 14 patients (93.3%) subjective and objective improvement was achieved. A review of the literature is presented.
1978年5月至1986年2月期间，两名患有重度子宫脱垂和13名子宫切除术后阴道穹窿脱垂的患者在多伦多西奈山医院接受了外科手术。标准手术包括腹部骶骨固定术，使用Marlex网片将阴道穹窿固定于骶骨岬并使网片腹膜后置。15例患者中有11例同时进行了一项或多项其他手术。术中无并发症发生。发生了1例严重术后并发症，1例患者出现复发性穹窿脱垂。随访时间为3至93个月，平均28个月。14例患者（93.3%）主观和客观症状均有改善。本文还对相关文献进行了综述。
