Update in native tissue vaginal vault prolapse repair

被引：13

作者：

Braga, Andrea ^{[1
]}

Serati, Maurizio ^{[2
]}

Salvatore, Stefano ^{[3
]}

Torella, Marco ^{[4
]}

Pasqualetti, Roberto ^{[1
]}

Papadia, Andrea ^{[5
]}

Caccia, Giorgio ^{[1
]}

机构：

[1] EOC Beata Vergine Hosp, Dept Obstet & Gynecol, Via Turconi 23 CP 1652, CH-6850 Mendrisio, Switzerland

[2] Univ Insubria, Del Ponte Hosp, Dept Obstet & Gynecol, Varese, Italy

[3] IRCCS San Raffaele Sci Inst, Dept Obstet & Gynecol, Milan, Italy

[4] Second Fac, Dept Obstet & Gynecol, Naples, Italy

[5] Univ Svizzera Habana, EOC Civ Hosp, Dept Obstet & Gynecol, Lugano, Switzerland

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2020年 / 31卷 / 10期

关键词：

Native tissue repair; Pelvic organ prolapse; Vaginal vault prolapse; Apical prolapse; Transvaginal mesh; Sacrocolpopexy; UTEROSACRAL LIGAMENT SUSPENSION; MODIFIED MCCALL CULDOPLASTY; PELVIC ORGAN PROLAPSE; TERM-FOLLOW-UP; ILIOCOCCYGEUS FIXATION; SACROSPINOUS FIXATION; COMPARTMENT PROLAPSE; COLPOCLEISIS; HYSTERECTOMY; OUTCOMES;

D O I：

10.1007/s00192-020-04368-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The lifetime risk of women for undergoing surgery for pelvic organ prolapse (POP) is estimated to be 11-19%, and 30% of these women will require subsequent reoperation over time. Following hysterectomy, 3.6 per 1,000 person-years need surgical correction of prolapse, and in two-thirds of these cases multi-compartment prolapse is present. In the last decades, vaginally synthetic meshes were widely used in pelvic reconstructive surgery. However, after the decision of the Food and Drug Administration in 2019 to stop selling all surgical mesh devices for transvaginal prolapse repair, native tissue (NT) vaginal repair seems to regain an important role in pelvic reconstructive surgery. In the literature, various surgical techniques have been described for apical repair, but the best surgical approach is still to be proven. This paper analyzes the current evidence from recent literature on NT vaginal vault prolapse (VVP) repair, with special focus on the safety and efficacy of the various vaginal techniques.

引用

页码：2003 / 2010

页数：8

共 58 条

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