Fruscella L, Fiumara D, Danti M
Divisione di Ostetricia e Ginecologia, U.S.L. RM/3-Ospedale, S. Pertini, Roma.
Minerva Ginecol. 1994 Sep;46(9):473-9.
The authors describe a new surgical technique to reduce the prolapse of genitals and urinary organs. In retrospect, we studied 36 women--between the ages of 59 and 85--who had been hospitalized from 1988 through 1990 at the Ospedale di S. Anna of Rome and from 1991 through May 1994 at the Ospedale Sandro Pertini of Rome. Twenty-eight out of 36 patients presented a III prolapse of the uterus with cystorectocele; 4 patients had a prolapse of the cupola vaginae after hysterectomy; 4 patients presented a prolapse of the residual stump after sub-total hysterectomy. In addition, 8 out of 36 patients presented a stress incontinence. The technique described adopts a special nylon lace to fix prolapsed organs to the fascia musculorum rectorum abdominis. Its ease and brief execution time, together with the complete lack of relapse, have convinced the authors to promote the diffusion of this technique, which allows relief from these extremely distressing complaints often not fully cured with traditional techniques.
作者描述了一种新的外科手术技术,用于减少生殖器和泌尿器官脱垂。回顾过去,我们研究了36名年龄在59岁至85岁之间的女性,她们于1988年至1990年在罗马圣安娜医院住院,1991年至1994年5月在罗马桑德罗·佩尔蒂尼医院住院。36例患者中有28例出现子宫III度脱垂伴膀胱膨出;4例患者子宫切除术后穹窿阴道脱垂;4例患者次全子宫切除术后残端脱垂。此外,36例患者中有8例出现压力性尿失禁。所描述的技术采用一种特殊的尼龙带将脱垂器官固定于腹直肌筋膜。其操作简便、执行时间短,且完全没有复发,这使得作者们坚信应推广该技术,因为它能缓解这些常无法用传统技术完全治愈的极度痛苦的病症。