Sacrocolpopexia laparoscópica como tratamiento del prolapso de órganos pélvicos: serie de casos

Q4 Medicine

Revista mexicana de urologia Pub Date : 2016-07-01 DOI:10.1016/j.uromx.2016.05.004

C.A. Hernández-Nieto , H. Flores-Mendoza , D. Basurto-Diaz , D.L. Sepúlveda-Mendoza , L.F. Garcia-Rodriguez , G.A. Soto-Fuenzalida

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引用次数: 0

Abstract

Pelvic organ prolapse is a frequent entity and is the cause of high morbidity in the female population. The criterion standard for resolving apical prolapse is sacrocolpopexy, which is usually performed through laparotomy. However, the laparoscopic approach is now being carried out with greater frequency because it is a treatment alternative with the benefits of minimally invasive surgery and no higher incidence of complications has been reported.

Aims

To review a case series of laparoscopic sacrocolpopexy with the following variables: surgery duration, blood loss, conversion, hospital stay, and 6-month follow-up.

Materials and methods

The study was retrospective, observational, and analytic. Fourteen cases of sacrocolpopexy were reviewed and divided into 2 groups. One case was excluded due to endometrial malignancy. The continuous variables were expressed as mean and standard deviation (SD) or median and interquartile range.

Results

The sacrocolpopexy group was made up of 6 patients with a mean age of 62.2 years (SD = 4.7), mean surgery duration of 171 min (SD = 43.4), and mean blood loss of 90 cc (SD = 50.9). Two patients presented with complications.

The hysterectomy plus sacrocolpopexy group had 7 patients with a mean age of 54.4 years (SD = 4.4), mean surgery duration of 198 min (SD = 26.9), and median blood loss of 125 cc (interquartile range 62.5-337). No complications or conversions to laparotomy were registered.

Conclusions

Laparoscopic sacrocolpopexy is a safe and accessible procedure in our environment that offers the benefits of minimally invasive surgery.

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腹腔镜骶结肠固定术作为盆腔器官脱垂的治疗:病例系列

盆腔器官脱垂是一个常见的实体，是高发病率的原因在女性人群。解决根尖脱垂的标准是骶colpop固定术，通常通过剖腹手术进行。然而，目前腹腔镜手术的频率越来越高，因为它是一种具有微创手术优点的治疗选择，并且没有更高的并发症发生率。目的回顾腹腔镜骶骶固定术的一系列病例，包括手术时间、出血量、转化、住院时间和6个月的随访。材料与方法本研究采用回顾性、观察性和分析性研究。回顾性分析14例骶髋固定术，并将其分为两组。1例因子宫内膜恶性肿瘤被排除。连续变量以均数和标准差(SD)或中位数和四分位间距表示。结果骶colpop固定术组6例患者，平均年龄62.2岁(SD = 4.7)，平均手术时间171 min (SD = 43.4)，平均失血量90cc (SD = 50.9)。2例患者出现并发症。子宫切除加骶阴道固定术组7例，平均年龄54.4岁(SD = 4.4)，平均手术时间198 min (SD = 26.9)，中位失血量125cc(四分位数间距62.5 ~ 337)。无并发症或转剖腹手术记录。结论腹腔镜骶colpop固定术是一种安全可行的微创手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.