■骶棘韧带固定术(SSLF)是治疗根尖脱垂的微创有效方法。因为术中暴露骶棘韧带很困难,SSLF很难。本文的目的是确定单孔腹膜外腹腔镜SSLF治疗根尖脱垂的安全性和可行性。
■这个单中心,单外科医生病例系列研究包括9例盆腔器官脱垂定量(POP-Q)III或IV型根尖脱垂患者,他们接受了单孔腹腔镜SSLF。此外,2例患者行经闭式无张力阴道穿刺(TVT-O),1例患者行骨盆前网片重建。
■手术时间从75到105(平均,88.9±10.2)min,失血范围从25到100(平均,43.3±22.6)ml。无严重手术并发症,输血,内脏损伤,或报告了这些患者的术后臀痛.经过2-4个月的随访,没有POP复发,臀痛,尿潴留/尿失禁,或观察到其他并发症。
■经阴道单口SSLF是一种安全的,有效,和易于掌握的根尖脱垂操作。
UNASSIGNED: Sacrospinous ligament fixation (SSLF) is a minimally invasive and effective procedure for the treatment of apical prolapse. Because intraoperative exposure of the sacrospinous ligament is difficult, SSLF is difficult. The aim of our article is to determine the safety and feasibility of single-port extraperitoneal laparoscopic SSLF for apical prolapse.
UNASSIGNED: This single-center, single-surgeon case series study included 9 patients with pelvic organ prolapse quantification (POP-Q) III or IV apical prolapse who underwent single-port laparoscopic SSLF. Additionally, transobturator tension-free vaginal tap (TVT-O) was performed in 2 patients, and anterior pelvic mesh reconstruction was performed in 1 patient.
UNASSIGNED: The operative time ranged from 75 to 105 (mean, 88.9 ± 10.2) min, and blood loss ranged from 25 to 100 (mean, 43.3 ± 22.6) ml. No serious operative complications, blood transfusions, visceral injuries, or postoperative gluteal pain were reported for these patients. After 2-4 months of follow-up, no recurrence of POP, gluteal pain, urinary retention/incontinence, or other complications was observed.
UNASSIGNED: Transvaginal single-port SSLF is a safe, effective, and easy-to-master operation for apical prolapse.