Laparoscopic-assisted tension-free vaginal mesh: an innovative approach to placing synthetic mesh: transvaginally for surgical correction of pelvic organ prolapse.
Laparoscopic-assisted tension-free vaginal mesh: an innovative approach to placing synthetic mesh: transvaginally for surgical correction of pelvic organ prolapse.
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腹腔镜辅助无张力阴道补片：一种放置合成补片的创新方法：经阴道用于盆腔器官脱垂的手术矫正。
DOI：
10.18926/amo/48078
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发表时间：
2012
影响因子：
0.5
通讯作者：
H. Kumon
中科院分区：
文献类型：
--
作者：
Toyohiko Watanabe;Miyabi Inoue;A. Ishii;Toyoko Yamato;Masumi Yamamoto;K. Sasaki;Yasuyuki Kobayashi;M. Araki;S. Uehara;T. Saika;H. Kumon
用于矫正盆腔器官脱垂（POP）的聚丙烯补片植入物现已在日本上市。我们开发了一种创新方法，通过在腹腔镜辅助下经阴道放置聚丙烯补片来矫正POP。从2007年6月至2010年3月，16例有症状的2期或3期盆腔器官脱垂患者在冈山大学医院接受了腹腔镜辅助无张力阴道补片手术。所有患者均在手术前和手术后1、3、6和12个月进行评估。同时采用女性性功能指数（FSFI）评价女性性功能。手术成功进行，无严重并发症。术后12个月时，16例患者中有15例（93.8%）被认为解剖学治愈。1例复发性3期阴道穹窿脱垂患者在术后6个月需要骶骨阴道固定术。总FSFI评分从基线时的10.3 ± 1.3显著改善至术后12个月时的18.0 ± 1.2。腹腔镜辅助下经阴道补片是一种安全、有效、简单的POP修补术。该手术不仅恢复了解剖关系，而且改善了性功能。
Polypropylene mesh implants for the correction of pelvic organ prolapse (POP) are now available in Japan. We developed an innovative approach for correcting POP by placing polypropylene mesh transvaginally with laparoscopic assistance. From June 2007 through March 2010, sixteen consecutive patients with symptomatic stage 2 or 3 pelvic organ prolapse underwent the laparoscopic-assisted tension-free vaginal mesh procedure at Okayama University Hospital. All patients were evaluated before and at 1, 3, 6, and 12 months after surgery. Female sexual function was also evaluated with the Female Sexual Function Index (FSFI). The procedure was performed successfully without significant complications. Fifteen of 16 patients were considered anatomically cured (93.8%) at 12 months postoperatively. One patient with a recurrent stage 3 vaginal vault prolapse required sacral colpopexy six months postoperatively. Total FSFI scores improved significantly from 10.3 ± 1.3 at baseline to 18.0 ± 1.2 at 12 months after surgery. The laparoscopic-assisted trans-vaginal mesh is a safe, effective, and simple procedure for POP repairs. The procedure not only restores anatomic relationships but also improves sexual function.