Clinical Application of Laparoscopic Presacral Fixation in the Uterus or Vagina

Gao Ran; Peng Xin Kan; Zhang Yan Ping; Yang Han

Article Contents

Article Navigation > Journal of Kunming Medical University > 2017 > 38(04): 120-122

Gao Ran , Peng Xin Kan , Zhang Yan Ping , Yang Han . Clinical Application of Laparoscopic Presacral Fixation in the Uterus or Vagina[J]. Journal of Kunming Medical University, 2017, 38(04): 120-122.

Citation:

Gao Ran , Peng Xin Kan , Zhang Yan Ping , Yang Han . Clinical Application of Laparoscopic Presacral Fixation in the Uterus or Vagina[J]. Journal of Kunming Medical University, 2017, 38(04): 120-122.

Gao Ran , Peng Xin Kan , Zhang Yan Ping , Yang Han . Clinical Application of Laparoscopic Presacral Fixation in the Uterus or Vagina[J]. Journal of Kunming Medical University, 2017, 38(04): 120-122.

Citation:

PDF( 119 KB)

Clinical Application of Laparoscopic Presacral Fixation in the Uterus or Vagina

Funds:

基金：昆明市卫生局科研基金资助项目(2012-28);

Received Date: 2016-10-06

Abstract

Abstract

Objective To explore the efficacy and safety of laparoscopic presacral fixation in the treatment of female pelvic organ prolapse. Methods Fifty-one women patients with pelvic organ prolapse were given presacral fixation. Among them,32 cases were by laparoscopic operation,and 19 cases were by laparotomy,the average blood loss and the average operation time of all patients would be observed. Results All 51 patients were successfully completed surgery. In the group of laparoscopic operation, the average operation time was(255.48 + 18.15)min, the average blood loss was(50±8.2) mL, the average hospital stay was 5 days. In the laparotomy group,the average operation time was(332.36±11.98) min,the average blood loss was(96±11.67) mL, the average hospital stay was 7 days. Pelvic organ prolapse symptoms were all corrected, pelvic structure returned to normal,all patients were cured,with no relapse after surgery, mesh erosion, leakage, local pain, foreign body sensation,discomfort,and had no obvious effect on sex life. The average operation time and average blood loss of group of laparoscopic operation were significantly lower than the laparotomy group(P<0.05). Conclusion Presacral fixation of uterine or vagina under laparoscope for the treatment of female pelvic organ prolapsed has such advantages as less trauma, clear surgery vision, less bleeding and quick recovery, satisfactory shor-term effect, and is worthy of promotion.
- Pelvic organ prolapse,
- Presacral fixation,
- Laparoscope,
- Pelvic floor dysfunction

FullText(HTML)

References(16)

References

[1]刘新民.妇产科手术学[M].第7版.北京:人民卫生出版社,2003:576-580.
[2]	[2]FATTON B.AMBLARD P,DEBODINANEE P,et al.Transvagina repot of genital prolapse:Preliminary results of a new tension-free vagihal mese(prolifl technique)-a case series muiticentric study[J].Int Urogynerol J Pelvic Floor Dysfunct,2007,18(7):743-752.
[3] 孙智晶,朱兰,郎景和,等.“协和”全盆底重建术治疗重度盆腔器官脱垂的多中心前瞻性研究[J].中华妇产科杂志,2011,46(8):13-16.
[4]	[4]SUBAK LL,WAETJEN LE,VAN DEN EEDEN S,et al.Cost of pelvic organ prolapse surgery in United States[J].Obstet Gynecol,2008,98(4):646-651.
[5]王晓玉,罗新.女性尿失禁盆底复建行为治疗和物理治疗[J].实用妇产科杂志,2008,21(3):142-143.
[6]高继学,贺晓龙,李义,等.延安市女性压力性尿失禁流行病学调查研究[J].昆明医科大学学报,2015,36(4):31-33.
[7]张洁,王影,黄立.补片应用于盆底功能障碍性疾病的临床疗效观察[J].中国妇幼保健,2012,27(1):20-22.
[8]李文亮,魏向群,张磊.腹腔镜下腹直肌子宫固定术治疗子宫脱垂的临床分析[J].昆明医科大学学报,2015,36(3):72-74.
[9]	[9]WHEELER TL,GERTEN KA,RICHTER HE,et al.Outcomes of vaginal vault prolapse repair woth a high uterosacral suspension procedure utilizing bilateral single sutures[J].Int Urogynecol J Pelvic Floor Dystuct,2007,18(10):1207-1213.
[10]	[10]MASHOUR GA,ESAKI RK,TREMPER KK,et al.A novel elassification instument for intraoperative awareness events[J].Anesth Analg,2010,110(3):813-815.
[11]	[11]HILGER WS,POULSON M,NORTON PA.Long-term results of abdominal sacrocolpopexy[J].Am J Obstet Gynecol,2003,189(4):1606-1610.
[12]	[12]OCCELLI B,NARDUCCI F,COSSON M,et a L.Abdominal colposacroplexy for The treatment of vaginal vault prolapse with or without urinary stress incontinence[J].Ann Chir,1999,53(2):367-377.
[13]朱兰,郎景和,王文艳,等.保留子宫的子宫脱垂矫正新术式-子宫骶骨固定[J].中国实用妇科与产科杂志,2005,21(11):697-698.
[14]	[14]NYGAARD IE,MCCREERY R,BRUBAKER L.Abdominal sacrocolpopexy:a comprehensive review[J].Obstet Gynecol,2004,104(4):805-823.
[15]	[15]PASCUAL G,RODRIGUEZ M,GOMEZ-GIL V,et a1.Early tissue incorporation and collagen deposition in lightweight polypmpylene mesh es:Bioassay in an experimental model of ventral hernia[J].Surgery,2008,144(1):427-435.
[16]	[16]HEFNI M,EI-TOUKHY T,BHAUMIK J,et al.Sacrospino-uscervicocolpopexy weith uterine conservation for uterovaginal prolapse in elderly women:An evolving concept[J].Obstet Gynecol,2003,188(3):645-650.

Relative Articles(20)

Relative Articles

[1]	Quanchang ZHANG, Qiaolian WU, Yu LIU, Xin ZHAO. The Impact of Laparoscopic and Open Total Mesocolon Resection on Platelet Activation，Incidence of Complications，and Tumor Recurrence in Colon Cancer Patients. Journal of Kunming Medical University, 2023, 44(9): 104-109. doi: 10.12259/j.issn.2095-610X.S20230919
[2]	Zhi-hong LI, Yong HU, Zheng-hua XIONG, Xi-cui LONG, Shao-bo LU, Xue-song HAN. Expression and Significance of TGF - β 1，TIMP-1 and Collagen Ⅲ in Vaginal Wall of Patients with Pelvic Organ Prolapse. Journal of Kunming Medical University, 2021, 42(9): 95-100. doi: 10.12259/j.issn.2095-610X.S20210909
[3]	Meng Chun Mei , Wu Xiao Mei , He Yun Yu , Ye Ke Fan , Zhang Yi Feng , Ren Dong Yan . . Journal of Kunming Medical University, 2020, 41(04): 87-90.
[4]	Feng Zi Hao . Clinical Efficacy of Laparoscopic Operation Combined with Dexamethasone Cavity Flushing in Endometriosis. Journal of Kunming Medical University,
[5]	Jiang Yun Yan . Clinical Nursing Experience in Laparoscopic Operation and Laparotomy for Cervical Cancer. Journal of Kunming Medical University,
[6]	Luo Li Jun . . Journal of Kunming Medical University,
[7]	Zhang Chuan Bo . . Journal of Kunming Medical University,
[8]	Li Wen Liang . . Journal of Kunming Medical University,
[9]	Yu Tao . . Journal of Kunming Medical University,
[10]	Luo Cong . . Journal of Kunming Medical University,
[11]	Li Juan . . Journal of Kunming Medical University,
[12]	Ma Yuan . . Journal of Kunming Medical University,
[13]	Xiao Zhong Xian . . Journal of Kunming Medical University,
[14]	Wang Ying . . Journal of Kunming Medical University,
[15]	Wang Jian . . Journal of Kunming Medical University,
[16]	Duan Yuan Yuan . . Journal of Kunming Medical University,
[17]	Yang Bao Xiang . . Journal of Kunming Medical University,
[18]	Zhang Hai Jing . . Journal of Kunming Medical University,
[19]	Ma Jin Xia . . Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,