Robotic Lateral Pelvic Organ Prolapse Suspension of Multicompartment Vaginal Prolapse.

IF 1.4 Q3 OBSTETRICS & GYNECOLOGY

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-01-01 DOI:10.4103/gmit.gmit_97_21

Antonio Pellegrino, Mario Villa, Maria Cristina Cesana, Anna Myriam Perrone, Antonio Malvasi, Vera Loizzi, Pierluigi Giampaolino, Ettore Cicinelli, Pierandrea De Iaco, Gianluca Raffaello Damiani

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引用次数: 2

Abstract

InteRventIons The procedure uses a titanized propylene prosthesis shaped in T that gives it maneuverability and elasticity proper to native tissues. The positioning technique involves a first phase of removing peritoneum from the vaginal dome and then the disconnect of the vescicovaginal band to delimit the mesh anchoring plans. The lateral trajectory of it consists to insert in a retrograde manner the side arm of the prothesis in the context of the lateral abdominal wall with a posterior projection to the anterior-upper iliac crest in a space which is free of major complications [Figures 1 and 2]. Procedure started with dissection of the cervicovesical pouch. The vesicovaginal space was then identified between the bladder and the anterior vaginal wall. A mesh (Endolas® 41.5 cm × 5 cm × 15 cm) with two lateral arms was tailored and fixed to the vagina, by six sutures of 2-0 polyglactin 910. The

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