An effective and safe innovation for the management of vault prolapse.

Rajiv Mahendru
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引用次数: 6

Abstract

Objective: Considering the great variety of techniques and disagreement about the ideal route, there is a need for a simple, safe and effective method for the management of vault prolapse.

Study design: 51 cases of post- hysterectomy vault prolapse: 45 following vaginal and 6 after total abdominal hysterectomy were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips.

Results: Except for minor complaints like vomiting, fever and urinary retention in 3.92% cases each (n = 2 each), no major complications were encountered. Moreover, no recurrence, thus far, on follow-up.

Conclusion: Using autogenous rectus fascia strips in anterior abdominal wall colpopexy is not only simple, cheap and effective method of treating apical prolapse but is also devoid of any serious complications as described with other techniques.

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Abstract Image

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安全有效的拱顶脱垂管理创新。
目的:考虑到拱顶脱垂术的技术种类繁多,对理想的路线存在分歧,需要一种简单、安全、有效的治疗拱顶脱垂的方法。研究设计:51例子宫切除术后穹窿脱垂,其中阴道切除术后45例,腹部全子宫切除术后6例,采用自体直肌筋膜条前腹壁阴道固定术治疗。结果:除呕吐、发热、尿潴留等轻微症状各占3.92% (n = 2)外,无重大并发症发生。此外,到目前为止,在随访中没有复发。结论:应用自体直肌筋膜条进行前腹壁阴道粘连术是一种简单、廉价、有效的治疗根尖脱垂的方法,而且与其他技术相比没有严重的并发症。
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