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首页> 外文期刊>Revista colombiana de obstetricia y ginecologie >Histerosacropexia laparoscópica para tratamiento conservador en pacientes con prolapso apical puro: reporte de 4 casos en Medellín, Colombia, 2006
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Histerosacropexia laparoscópica para tratamiento conservador en pacientes con prolapso apical puro: reporte de 4 casos en Medellín, Colombia, 2006

机译：腹腔镜单纯阴道行单纯性根尖脱垂的保守治疗：哥伦比亚麦德林4例报告，2006年

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Objective: describing the laparoscopic hysterosacropexy technique and short-term results in 4 patients with apical prolapse in whom hysterectomy was contraindicated. Setting: gynecological endoscopy unit, Clínica del Prado, Medellín, Colombia. Sample: four patients with apical prolapse wishing for uterine conservation or having contraindication for hysterectomy. Methods: reviewing medical records, follow-up visits and telephone questionnaire. Main outcomes: age, indication for surgery, operating time, estimated blood loss, intra-operative complications, hospitalization time, incidence of postoperative urinary, defecatory or sexual dysfunction, developing urinary incontinence, mesh-derived complications, prolapse recurrence, subjective cure rate, objective cure rate, satisfaction, pregnancies after surgery. Results: mean age was 53 (39-71), 67 minutes mean time(60-75) spent in surgery, 30 cc mean estimated blood loss (10-50) and 15 hours mean hospitalisation time (6-24). There were no intra-operation complications. There have been no recurrences of prolapse or any evidence of urinary, defecatory or costal dysfunctions in sexually-active patients during mean follow-up period (12 months). All patients were completely satisfied with the operation result. No pregnancies have been recorded to date. Conclusions: laparoscopic hysterosacropexy could be a valid alternative in our setting for treating patients suffering apical prolapse having contraindication for hysterectomy. Further studies are needed for establishing its role in clinical practice.
机译：目的：描述禁忌行子宫切除术的4例根尖下垂患者的腹腔镜子宫切除术及近期结果。地点：妇产科内窥镜检查科，哥伦比亚麦德林的Clínicadel Prado。样本：四名有根尖脱垂的患者希望保留子宫或有子宫切除术的禁忌症。方法：检查病历，随访和电话调查表。主要结果：年龄，手术指征，手术时间，估计失血量，术中并发症，住院时间，术后尿频，排便或性功能障碍的发生率，发展性尿失禁，网状并发症，脱垂复发，主观治愈率，客观治愈率，满意度，手术后怀孕。结果：平均年龄为53岁（39-71），平均手术时间为67分钟（60-75），平均估计失血量为30 cc（10-50），平均住院时间为15小时（6-24）。术中无并发症。在平均随访期（12个月）内，没有性活动患者的脱垂复发或任何泌尿，排便或肋功能障碍的证据。所有患者对手术结果完全满意。迄今为止，没有怀孕记录。结论：腹腔镜子宫切除术可能是在我们的环境中治疗具有子宫切除术禁忌症的根尖脱垂患者的有效选择。建立其在临床实践中的作用还需要进一步的研究。

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