Pectineal ligament suspension of prolapsed vaginal vault

被引:2
|
作者
Joshi, Vivek M. [1 ]
Otiv, Suhas R. [1 ]
Dagade, Vasant B. [2 ]
Borse, Mahindra [3 ]
Majumder, Rabin N. [1 ]
Shrivastava, Maneesha [4 ]
Shelmohkar, Ravindra [5 ]
Bijwe, Smita [6 ]
机构
[1] KEM Hosp, Dept Obstet & Gynecol, Pune, Maharashtra, India
[2] Suyash Hosp, Pune, Maharashtra, India
[3] Emerald Endoscopy Ctr, Pune, Maharashtra, India
[4] Walawalkar Rural Hosp, Dept Obstet & Gynecol, Ratnagiri, India
[5] Kashti Rural Hosp, Pune, Maharashtra, India
[6] Dr PDM Med Coll, Dept Obstet & Gynecol, Amravati, India
关键词
Colpopexy; Laparoscopic; Pectineal ligament; Vaginal vault prolapse; ABDOMINAL SACROCOLPOPEXY;
D O I
10.1016/j.ijgo.2013.04.017
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To report on a collective pectineal ligament suspension experience acquired over 12 years in India with 119 women who presented with prolapsed vaginal vault. The feasibility and effectiveness of the procedure was assessed for the open and laparoscopic routes. Methods: The prolapsed vaginal vault was suspended unilaterally to the pectineal ligament using polyester tape at 3 urban and 3 rural hospitals. The procedure was done through a Cherney incision in 104 women. In the remaining 15 women, it was done laparoscopically at a single urban center. Results: There were no intraoperative complications. The mean follow-up was 5.5 years (range, 0.5-12 years). Only 2 women had vaginal prolapse recurrence, at 3 and 5 years. Two had asymptomatic tape erosion, at 2 and 5 years, and a mild cystocele appeared in 5 women and a low rectocele in 4. However, none of these women required further vaginal surgery during their follow-up period. Conclusion: The present study demonstrates the long-term safety and effectiveness of pectineal ligament suspension for vaginal vault prolapse by the open and the laparoscopic routes. As it was done by surgeons of varying experience at centers with varying resources, the procedure can be readily mastered by any gynecologic surgeon. (c) 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:29 / 32
页数:4
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