New techniques for correcting vaginal apical prolapse
نویسنده
چکیده
Contemporary OB/GYN Technology Correcting apical vaginal prolapse can be a challenge for even the most experienced gynecologic surgeon. Many women with the condition have a history of pelvic surgery, co-existing medical conditions, are elderly, or present with a vaginal hernia sac that contains portions of the bladder, rectum, and peritoneum. Traditional surgery for vaginal prolapse involves either fixing the hernia through the abdomen or vagina or obliterating the vagina with a partial or complete colpocleisis. Newer, minimally invasive techniques build on our previous success with the well-described abdominal and vaginal procedures.
منابع مشابه
Surgical treatments for vaginal apical prolapse
Pelvic organ prolapse is a common condition, occurring in up to 11% of women in the United States. Often, pelvic organ prolapse recurs after surgery; when it recurs after hysterectomy, it frequently presents as vaginal apical prolapse. There are many different surgical treatments for vaginal apical prolapse; among them, abdominal sacral colpopexy is considered the gold standard. However, recent...
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OBJECTIVE To compare the safety and efficacy of abdominal sacral colpopexy and sacrospinous ligament suspension with the use of vaginal mesh for apical prolapse. METHOD This retrospective study was conducted from 2005 to 2012 and included 89 women with apical prolapse who underwent surgery. Assessments included pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage. Rates o...
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BACKGROUND Supracervical robotic-assisted laparoscopic sacrocolpopexy (SRALS) is a new surgical treatment for pelvic organ prolapse that secures the cervical remnant to the sacral promontory. We present our initial experience with SRALS in the same setting as supracervical robotic-assisted hysterectomy (SRAH). METHODS Women with vaginal vault prolapse and significant apical defects as defined...
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OBJECTIVE Recurrent pelvic organ prolapse (POP) has been attributed to many factors, one of which is lack of vaginal apical support. To assess the role of vaginal apical support and POP, we analyzed a national dataset to compare long-term reoperation rates after prolapse surgery performed with and without apical support. METHODS Public use file data on a 5% random national sample of female Me...
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