التفاصيل البيبلوغرافية
| العنوان: |
Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results |
| المؤلفون: |
Api, Murat, Kayatas, Semra, Boza, Aysen, Nazik, Hakan, Aytan, Hakan |
| المصدر: |
International braz j urol. August 2014 40(4) |
| بيانات النشر: |
Sociedade Brasileira de Urologia, 2014. |
| سنة النشر: |
2014 |
| مصطلحات موضوعية: |
Laparoscopy, Pelvic Organ Prolapse, Suburethral Slings, Abdominal operations |
| الوصف: |
Objective The aim of the present study was to evaluate the safety and efficacy of a “Cravat’’ technique for the management of uterine prolapse in patients who want to preserve uterus, involving suspension of the uterus from the sacral promontory by using polypropylene mesh. Materials and Methods A prospective observational study between January 2011 and September 2013 was conducted. Prior to surgery, prolapse assessment was undertaken with Baden-Walker halfway system to grade the degree of prolapse at all sites. Patients with severe uterine prolapse (stage II-IV) who want to preserve uterus, were operated with Cravat technique. All patients were evaluated at 2 weeks and 6 weeks after surgery and followed for 6 months. Outcomes were evaluated objectively by vaginal examination using Baden-Walker halfway classification, and subjectively classifying patients as ‘very satisfied’, ‘satisfied’ and ‘not satisfied’ at the 6th month postoperatively. Results Sacral uteropexy was successfully performed by laparoscopy in 32/33 patients (one needed to be converted to laparotomy). Nine patients also had a concurrent procedure as colporaphy anterior, colporaphy posterior or transobturator tape. Postoperative recovery has been uneventful with subjective and objective cure rates were 96.9% and 93.9%, respectively at six month. One recurrence of total prolapse needed to be reoperated and two patients with sacrouteropexy still remained at stage 2 prolapse. There have been no cases of graft exposure, rejection or infection with a median follow-up of 23.9 months. Conclusions Laparoscopic sacral uteropexy with “Cravat technique” was found to be safe and simple procedure. |
| نوع الوثيقة: |
article |
| وصف الملف: |
text/html |
| اللغة: |
English |
| تدمد: |
1677-5538 |
| DOI: |
10.1590/S1677-5538.IBJU.2014.04.12 |
| URL الوصول: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000400526 |
| Rights: |
info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edssci.S1677.55382014000400526 |
| قاعدة البيانات: |
SciELO |
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