Laparoscopic Lateral Hysteropexy versus Hysterosacropexy in Women with Stage III Uterine Prolapse.

IF 0.8 Q4 SURGERY Chirurgia Pub Date : 2024-08-01 DOI:10.21614/chirurgia.119.eC.3015
Irina Niţu, Vasile Sârbu, Silvia Savin, Neacşu Sabina, Silvia Șerban, Stere Popescu, Teodor Ștefan Niţu, Mihaela Pundiche, Răzvan Cătălin Popescu, Nicoleta Leopa
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Abstract

Background: Minimally invasive techniques in gynecological pathology have well-known benefits, the "gold standard" of uterine prolapse being currently managed laparoscopically. Laparoscopic lateral hysteropexy and hysterosacropexy are surgical techniques that can be performed for uterine prolapse. Laparoscopic management of such cases is recommended, but requires well-trained teams in laparoscopic surgery. Methods: This study is a prospective analysis of patients who required surgical treatment for stage III uterine prolapse, hospitalized in the Surgery Department of Constanta County Hospital, for which laparoscopic lateral hysteropexy or laparoscopic hysterosacropexy was performed. Results: Between 2016-2020, 61 patients were hospitalized with stage III uterine prolapse that required surgery. All patients underwent laparoscopic surgery. Symptomatology was dominated by urinary incontinence (50%, 44.89%) and obstructive defecation (16.66%, 18.36%). Intraoperative complications were encountered in 33.3% of cases undergoing laparoscopic hysterosacropexy and in 8.16% undergoing laparoscopic lateral hysteropexy. At one year, the recurrence rate was 2.04% for patients who underwent lateral hysteropexy and 8.33% for patients who underwent hysterosacropexy. No patient had a recurrence at the 3-year visit. Conclusions: Laparoscopic lateral hysteropexy is emerging as an appropriate, safe, and effective procedure to treat advanced apical prolapse that requires further clinical attention and development to fully understand its surgical place in the treatment of pelvic defects.

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腹腔镜子宫侧位整形术与子宫骶骨切除术在 III 期子宫脱垂妇女中的应用。
背景:妇科病学中的微创技术具有众所周知的优势,目前子宫脱垂的 "金标准 "是通过腹腔镜进行治疗。腹腔镜子宫侧切术和子宫骶骨切除术是治疗子宫脱垂的手术技术。建议对此类病例进行腹腔镜治疗,但需要训练有素的腹腔镜手术团队。方法:本研究对康斯坦察县医院外科住院的需要手术治疗的III期子宫脱垂患者进行了前瞻性分析,这些患者接受了腹腔镜子宫侧切术或腹腔镜子宫骶骨切开术。结果:2016-2020 年间,61 名患者因子宫脱垂 III 期而住院,需要进行手术治疗。所有患者均接受了腹腔镜手术。症状以尿失禁(50%,44.89%)和排便受阻(16.66%,18.36%)为主。33.3%的腹腔镜子宫骶骨切除术病例和8.16%的腹腔镜子宫侧切术病例出现术中并发症。一年后,接受侧位子宫切除术的患者复发率为2.04%,接受子宫骶骨切除术的患者复发率为8.33%。没有患者在三年后复发。结论腹腔镜子宫侧位整形术正在成为治疗晚期子宫尖脱垂的一种合适、安全且有效的手术,需要进一步的临床关注和发展,以充分了解其在治疗盆腔缺陷中的手术地位。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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