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操作方法:经阴道骶棘韧带固定术。

How I Do It:  EnPlace sacrospinous ligament fixation.

机构信息

Department of Urology, Northwell Health, Manhasset, New York, USA.

Division of Urology, University of Toronto, Toronto, Ontario, Canada.

出版信息

Can J Urol. 2024 Oct;31(5):12022-12025.

PMID:39462534
Abstract

Pelvic organ prolapse (POP) is a common condition that significantly impairs a woman's quality of life.  Currently a range of interventions from non-surgical to surgical options exist, all with their unique advantages and disadvantages.  Among these, the EnPlace system stands out as a truly minimally invasive transvaginal percutaneous device designed to repair apical POP by bilaterally anchoring sutures to the sacrospinous ligaments.  Readers will familiarize themselves with the EnPlace, relevant historical studies, and the technique for EnPlace transvaginal percutaneous sacrospinous ligament fixation for hysteropexy or colposuspension.

摘要

盆腔器官脱垂(POP)是一种常见病症,严重影响女性的生活质量。目前,存在从非手术到手术的一系列干预措施,每种方法都有其独特的优缺点。其中,EnPlace 系统是一种真正微创的经阴道经皮装置,旨在通过双侧将缝线固定在骶棘韧带上来修复顶脱垂。读者将熟悉 EnPlace、相关历史研究以及用于经阴道经皮骶棘韧带固定以进行子宫固定术或阴道悬吊术的 EnPlace 技术。

相似文献

1
How I Do It:  EnPlace sacrospinous ligament fixation.操作方法:经阴道骶棘韧带固定术。
Can J Urol. 2024 Oct;31(5):12022-12025.
2
The EnPlace sacrospinous ligament fixation-A novel minimally invasive transvaginal procedure for apical pelvic organ prolapse repair: Safety and short-term outcome results.经阴道 EnPlace 骶棘韧带固定术——一种治疗阴道顶端盆腔器官脱垂的新型微创经阴道手术:安全性和短期结果。
Int J Gynaecol Obstet. 2023 Nov;163(2):667-671. doi: 10.1002/ijgo.14927. Epub 2023 Jun 20.
3
The minimally invasive sacrospinous fixation under visual guidance: An anatomical study.在可视引导下进行的微创骶棘韧带固定术:一项解剖学研究。
Eur J Obstet Gynecol Reprod Biol. 2024 Jun;297:36-39. doi: 10.1016/j.ejogrb.2024.03.039. Epub 2024 Mar 31.
4
Characteristics associated with composite surgical failure over 5 years of women in a randomized trial of sacrospinous hysteropexy with graft vs vaginal hysterectomy with uterosacral ligament suspension.在一项骶棘韧带固定术联合移植物与阴道子宫切除术联合子宫骶骨韧带悬吊术治疗女性的随机试验中,5 年内与复合手术失败相关的特征。
Am J Obstet Gynecol. 2023 Jan;228(1):63.e1-63.e16. doi: 10.1016/j.ajog.2022.07.048. Epub 2022 Aug 2.
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Anterior sacrospinous ligament fixation by the vaginal route in ten steps.
J Gynecol Obstet Hum Reprod. 2023 Dec;52(10):102677. doi: 10.1016/j.jogoh.2023.102677. Epub 2023 Oct 10.
6
Sacrospinous fixation: Review of relevant anatomy and surgical technique.骶棘韧带固定术:相关解剖学和手术技术的综述。
Int J Gynaecol Obstet. 2023 Sep;162(3):842-846. doi: 10.1002/ijgo.14751. Epub 2023 Mar 20.
7
Bilateral minimal tension sacrospinous fixation in pelvic organ prolapse: an observational study.双侧最小张力骶棘肌固定术治疗盆腔器官脱垂:一项观察性研究
Eur J Obstet Gynecol Reprod Biol. 2015 May;188:1-5. doi: 10.1016/j.ejogrb.2015.02.022. Epub 2015 Feb 21.
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Mobility analysis of a posterior sacrospinous fixation using a finite element model of the pelvic system.利用骨盆系统的有限元模型分析后路骶棘韧带固定的活动度。
PLoS One. 2024 Mar 21;19(3):e0299012. doi: 10.1371/journal.pone.0299012. eCollection 2024.
9
Minimally invasive meshless and minimal dissection ligament fixation system for apical organ prolapse procedures: A 4-year prospective follow up study.
Int J Gynaecol Obstet. 2022 Sep;158(3):657-662. doi: 10.1002/ijgo.14046. Epub 2021 Dec 11.
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Sacrospinous hysteropexy with a low weight transvaginal polypropylene mesh for treatment of complete uterovaginal eversion.经阴道骶棘韧带固定术联合低重量聚丙烯网片治疗完全子宫阴道脱垂。
Int Braz J Urol. 2019 Jul-Aug;45(4):856-857. doi: 10.1590/S1677-5538.IBJU.2018.0555.

引用本文的文献

1
Is Transvaginal Minimally Invasive Sacrospinous Ligament Fixation a Safe and Effective Surgical Approach for Treating Recurrent Apical Pelvic Organ Prolapse?经阴道微创骶棘韧带固定术是治疗复发性盆腔器官顶端脱垂的安全有效手术方法吗?
J Clin Med. 2025 Jul 24;14(15):5235. doi: 10.3390/jcm14155235.