A new operation technique for uterine prolapse: Vaginally-assisted laparoscopic sacrohysteropexy Uterin prolaps için yeni bir operasyon tekniği: Vajinal asiste laparoskopik sakrohisteropeksi
Turkish Journal of Obstetrics and Gynecology, cilt.14, sa.3, ss.181-186, 2017 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 3
- Basım Tarihi: 2017
- Doi Numarası: 10.4274/tjod.96641
- Dergi Adı: Turkish Journal of Obstetrics and Gynecology
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.181-186
- Anahtar Kelimeler: Sacrohysteropexy, laparoscopy, vaginally-assisted laparoscopic sacrohysteropexy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH). Materials and Methods: Thirty-three women with stage 3 or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh-related complications and improvements of symptoms. The operation had three sections; 1st laparoscopic, 2nd vaginal, 3rd laparoscopic. Results: The mean age, gravidity, and parity of the study population were 46.5 years (range, 25-68 years), 4.3 (1-9), and 2.9 (1-6), respectively. The mean duration of operation was 59.5 min (range, 20-120 min). There were significant differences between the pre- and post-operative values of pelvic organ prolapse quantification parameters, which were favorable in the latter evaluation (p<0.001); total vaginal length was preserved after surgery (p>0.05). Conclusion: VALSH is a safe and minimally-invasive procedure in uterovaginal prolapse, with favorable anatomic and functional outcomes at 12 months post-operatively.