Laparoscopic sacral suture hysteropexy for uterine prolapse

被引:67
|
作者
Krause, Hannah G.
Goh, Judith T. W.
Sloane, Kate
Higgs, Peta
Carey, Marcus P.
机构
[1] Gold Coast Hosp, Southport, Qld 4215, Australia
[2] Royal Hosp Women, Dept Urogynaecol, Melbourne, Vic, Australia
关键词
laparoscopy; hysteropexy; uterine suspension; uterine preservation; uterovaginal prolapse;
D O I
10.1007/s00192-005-0019-0
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This study aims to describe and review a new method of uterine conservation in pelvic reconstruction for women with uterine prolapse. This is a prospective study of women who have undergone laparoscopic sacral suture hysteropexy. Structured questions, visual analogue patient satisfaction score (VAS), and vaginal examination were undertaken. Follow-up was performed by non-surgical reviewers. From July 2001 until August 2003, a total of 81 women underwent laparoscopic sacral suture hysteropexy for uterine prolapse. At a mean of 20.3 months follow-up, 76 women (93.8%) were available for questioning and 57 (70.3%) attended for examination. Sixty-five women (87.8%) had no symptoms of pelvic floor prolapse, 54 women (94.7%) had no objective evidence of uterine prolapse, and 61 women (82.4%) were satisfied with their surgery (VAS >= 80%). Laparoscopic sacral suture hysteropexy attaches the posterior cervix to the sacral promontory via the right uterosacral ligament. Follow-up data of laparoscopic sacral suture hysteropexy indicate it to be an effective method in the management of uterine prolapse.
引用
收藏
页码:378 / 381
页数:4
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