用合成网臂固定双侧骶棘阴道穹隆：一项新技术。

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada Pub Date : 2024-09-28 DOI:10.1016/j.jogc.2024.102671

Roxana Geoffrion MDCM, Nicole Koenig BA, CCRP, Lina Roa MD, MPH

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引用次数: 0

摘要

骶棘韧带悬吊术用于悬吊顶端脱垂，但与骶骨整形术相比，其复发率高，与子宫骶骨悬吊术相比，其疼痛率高。我们开发了一种新型手术方法，即使用合成网臂固定双侧骶棘阴道穹隆。在视频 1 中，我们介绍了可复制的逐步手术方法。这种技术可以恢复支撑力，在最小张力的情况下形成解剖学上正确的阴道轴中线结构。目前正在进行一项随机对照试验，以研究网片与缝合技术在骶棘韧带悬吊术中的耐久性。

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Bilateral Sacrospinous Vaginal Vault Fixation With Synthetic Mesh Arms: A Novel Technique

Sacrospinous ligament suspension is used for suspension of apical prolapse; however, it has a high rate of recurrence compared with sacrocolpopexy, and a high rate of pain compared with uterosacral suspension. We developed a novel surgical procedure of bilateral sacrospinous vaginal vault fixation with synthetic mesh arms. We previously demonstrated its safety, and in Supplementary video 1, we describe a step-by-step surgical approach that could be replicated. This technique restores support, creating an anatomically correct midline configuration of the vaginal axis with minimal tension. A randomized controlled trial is underway to examine durability of mesh versus suture techniques for sacrospinous ligament suspension.

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来源期刊

Journal of obstetrics and gynaecology Canada OBSTETRICS & GYNECOLOGY-

CiteScore

3.30

自引率

5.60%

发文量

302

审稿时长

32 days

期刊介绍： Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.