Chirurgia (Bucur). 2024 Jun;119(eCollection):1-6. doi: 10.21614/chirurgia.119.eC.3004.
Pelvic static disorders have an important impact on patients' quality of life, constituting a real public health problem, despite the fact that they are not life-threatening. Minimally invasive procedures of pelvic organ prolapse has many advantages, laparoscopic hysteropexy and colpopexy being a standard with real benefits: minimal incisions, reduced postoperative complications, shorter hospital stay and a low recurrence rate. Laparoscopic management of such cases is recommended, but requires teams well trained in minimally invasive surgery. Case presentation: We presented a series of successful cases of two patients with grade III hysterocele, respectively vaginal vault prolapse, who were treated minimally invasively with a lateral laparoscopic hysteropexy, respectively lateral laparoscopic colpopexy. Given the well-known benefits of minimally invasive surgery, we chose laparoscopic surgery because of the smaller surgical impact and faster return to normal life. The surgical procedures were performed successfully, without complications, with rapid recovery, without recurrence. Conclusion: Hysteropexy and laparoscopic colpopexy are safe and effective surgical procedures in selected cases.
盆腔静态障碍对患者的生活质量有重要影响,构成了一个真正的公共卫生问题,尽管它们不会危及生命。盆腔器官脱垂的微创治疗有许多优点,腹腔镜子宫固定术和阴道前壁修补术是一种具有实际益处的标准术式:切口小、术后并发症减少、住院时间短、复发率低。建议对这种情况进行腹腔镜治疗,但需要在微创手术方面受过良好训练的团队。病例介绍:我们介绍了两例 III 度子宫脱垂(阴道穹隆脱垂)患者的成功治疗病例,分别采用腹腔镜侧方子宫固定术和腹腔镜侧方阴道前壁修补术进行微创治疗。鉴于微创手术的显著优势,我们选择了腹腔镜手术,因为它的手术影响较小,术后恢复正常生活的速度较快。手术过程顺利,无并发症,恢复迅速,无复发。结论:在选择病例中,子宫固定术和腹腔镜阴道前壁修补术是安全有效的手术方法。