Abstract
References
- DeLancey JOL. Anatomy and biomechanics of genital prolapse. Clin Obstet Gynecol 1993; 36: 897-909.
- Uzoma A, Farag KA. Vaginal vault prolapse. Obstet Gynecol Int 2009; 275621.
- Richter K. The surgical anatomy of the vaginaefixatio sacrospinalis vaginalis. A contribution to the surgical treatment of vaginal blind pouch prolapse. Geburtshilfe Frauenheilkd 1968; 28: 321-7.
- Lane FE. Repair of posthysterectomy vaginal-vault prolapse. Obstet Gynecol 1962; 20: 72-7.
- Paraiso MF, Jelovsek JE, Frick A, Chen CC, Barber MD. Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol 2011; 118: 1005-13.
- Judd JP, Siddiqui NY, Barnett JC, Visco AG, Havrilesky LJ, Wu JM. Costminimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. J Minim Invasive Gynecol 2010; 17: 493-9.
- Benson JT, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996; 175: 141821. discussion 1421-2.
- Jeon MJ, Moon YJ, Jung HJ, Lim KJ, Yang HI, Kim SK, Bai SW. A long-term treatment outcome of abdominal sacrocolpopexy. Yonsei Med J 2009; 50: 807-13.
- Misraï V, Rouprêt M, Seringe E, Vaessen C, Cour F, Haertig A, Richard F, Chartier-Kastler E. Long-term results of laparoscopic sacral colpopexy for highgrade cystoceles. Prog Urol 2008; 18: 1068-74.
- Bai SW, Jeon MJ, Kim JY, Chung KA, Kim SK, Park KH. Relationship between stress urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2002; 13: 256-60.
- Elser DM, Moen MD, Stanford EJ, Keil K, Matthews CA, Kohli N, Mattox F, Tomezsko J; Urogynecology Network. Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics. Am J Obstet Gynecol 2010; 202: 375.e1-5.
- Visco AG, Brubaker L, Nygaard I, Richter HE, Cundiff G, Fine P, Zyczynski H, Brown MB, Weber AM; Pelvic Floor Disorders Network. The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 607-14.
- Fatton B, Dwyer PL, Achtari C, Tan PK. Bilateral extraperitoneal uterosacral vaginal vault suspension: a 2-year follow-up longitudinal case series of 123 patients. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 427-34.
- Srikrishna S, Robinson D, Cardozo L. Ringing the changes in evaluation of urogenital prolapse. Int Urogynecol J 2011; 22: 171-5.
- Brubaker L, Cundiff GW, Fine P, Nygaard I, Richter HE, Visco AG, Zyczynski H, Brown MB, Weber AM; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 2006; 354: 1557-66.
- Costantini E, Zucchi A, Giannantoni A, Mearini L, Bini V, Porena M. Must colposuspension be associated with sacropexy to prevent postoperative urinary incontinence? Eur Urol 2007; 51: 788-94.
- Gadonneix P, Ercoli A, Salet-Lizée D, Cotelle O, Bolner B, Van Den Akker M, Villet R. Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse. J Am Assoc Gynecol Laparosc 2004; 11: 29-35.
Abstract
Amaç. Apikal genital prolapsus olgularının cerrahi tedavisinde uygulanan sakropeksi ve sakrosipinoz ligaman fiksasyonu operasyonlarının değerlendirilmesi. Yöntem. Uterin prolapsus veya vajen kaf prolapsusu nedeni ile opere edilen toplam 49 hastanın kayıtları retrospektif incelendi.Tüm hastaların sonuçları değerlendirildi, aynı zamanda sakropeksi (abdominal sakrokolpopeksi/sakroservikopeksi) ve sakrospinöz ligaman fiksasyon grupları oluşturularak değerlendirilme de yapıldı. Olgular postoperatif dönemdeki şikayetler, üriner inkontinans, hasta memnuniyeti ve postoperatif bulgular yönünden incelendi. Bulgular. Sakropeksi grubunda ortalama takip süresi 41,2 ay (41,2±24,9), sakrospinöz fiksasyon grubunda ise 69,1 ay (69,1±8,2) bulundu. Sakropeksi grubunda prolapsus nüksü tespit edilmedi. Sakrospinöz ligaman fiksasyon grubunda ise 2 olguda (%11,1) nüks tespit edildi. Nüks açısından iki grup arasında anlamlı bir fark yoktu (p=0,058). Sakrospinöz fiksasyon grubunda sakropeksi grubuna göre anlamlı derecede daha yüksek oranda ön/arka onarım yapılmış olmasına rağmen (%83,3'e karşı, %38,7, p=0,013) postoperatif tespit edilen sistorektosel bakımından iki grup arasında fark yoktu. Sakropeksi grubundaki hastaların %93,5’i memnun, %6,5’i orta düzeyde memnun iken, memnun olmayan hasta yoktu. Sakrosipinoz ligaman fiksasyon grubunda ise 2 olguda (%11,1) memnuniyetsizlik mevcuttu. Hasta memnuyeti bakımından iki grup arasında anlamlı fark vardı (p=0,034). Sonuç. Apikal genital prolapsus olguları için sakropeksi operasyonları ve sakrospinöz ligaman fiksasyonu operasyonunun yüzgüldürücü olduğu açıktır. Nüks ve hasta memnuniyeti yönünden, sakropeksi operasyonlarının daha yüz güldürücü olduğu söylenebilir. Sakropeksi opersyonları, sistorektosel operasyonu gereksinimini de azaltmaktadır.
References
- DeLancey JOL. Anatomy and biomechanics of genital prolapse. Clin Obstet Gynecol 1993; 36: 897-909.
- Uzoma A, Farag KA. Vaginal vault prolapse. Obstet Gynecol Int 2009; 275621.
- Richter K. The surgical anatomy of the vaginaefixatio sacrospinalis vaginalis. A contribution to the surgical treatment of vaginal blind pouch prolapse. Geburtshilfe Frauenheilkd 1968; 28: 321-7.
- Lane FE. Repair of posthysterectomy vaginal-vault prolapse. Obstet Gynecol 1962; 20: 72-7.
- Paraiso MF, Jelovsek JE, Frick A, Chen CC, Barber MD. Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol 2011; 118: 1005-13.
- Judd JP, Siddiqui NY, Barnett JC, Visco AG, Havrilesky LJ, Wu JM. Costminimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. J Minim Invasive Gynecol 2010; 17: 493-9.
- Benson JT, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996; 175: 141821. discussion 1421-2.
- Jeon MJ, Moon YJ, Jung HJ, Lim KJ, Yang HI, Kim SK, Bai SW. A long-term treatment outcome of abdominal sacrocolpopexy. Yonsei Med J 2009; 50: 807-13.
- Misraï V, Rouprêt M, Seringe E, Vaessen C, Cour F, Haertig A, Richard F, Chartier-Kastler E. Long-term results of laparoscopic sacral colpopexy for highgrade cystoceles. Prog Urol 2008; 18: 1068-74.
- Bai SW, Jeon MJ, Kim JY, Chung KA, Kim SK, Park KH. Relationship between stress urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2002; 13: 256-60.
- Elser DM, Moen MD, Stanford EJ, Keil K, Matthews CA, Kohli N, Mattox F, Tomezsko J; Urogynecology Network. Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics. Am J Obstet Gynecol 2010; 202: 375.e1-5.
- Visco AG, Brubaker L, Nygaard I, Richter HE, Cundiff G, Fine P, Zyczynski H, Brown MB, Weber AM; Pelvic Floor Disorders Network. The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 607-14.
- Fatton B, Dwyer PL, Achtari C, Tan PK. Bilateral extraperitoneal uterosacral vaginal vault suspension: a 2-year follow-up longitudinal case series of 123 patients. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 427-34.
- Srikrishna S, Robinson D, Cardozo L. Ringing the changes in evaluation of urogenital prolapse. Int Urogynecol J 2011; 22: 171-5.
- Brubaker L, Cundiff GW, Fine P, Nygaard I, Richter HE, Visco AG, Zyczynski H, Brown MB, Weber AM; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 2006; 354: 1557-66.
- Costantini E, Zucchi A, Giannantoni A, Mearini L, Bini V, Porena M. Must colposuspension be associated with sacropexy to prevent postoperative urinary incontinence? Eur Urol 2007; 51: 788-94.
- Gadonneix P, Ercoli A, Salet-Lizée D, Cotelle O, Bolner B, Van Den Akker M, Villet R. Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse. J Am Assoc Gynecol Laparosc 2004; 11: 29-35.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | April 9, 2012 |
| Published in Issue | Year 2012Volume: 34 Issue: 3 |