European journal of obstetrics, gynecology, and reproductive biology · 2025
Clinical results after laparoscopic sacrocolpopexy for genital prolapse - a high success rate: A three-year follow-up study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bouzalov Stefan Angelov, Yanev Plamen Ivanov, Ivanov Yasen Trifonov, Staneva Galina Ivelinova, Tomov Slavcho Tomov, Totev Tihomir Pankov
Аннотация
BACKGROUND: Laparoscopic sacrocolpopexy is an effective method for the treatment of pelvic organ prolapse which gives very good anatomical and functional results.
OBJECTIVE: To assess the subjective and objective rate of success and complications after laparoscopic sacrocolpopexy.
STUDY DESIGN: We followed 356 of the 482 patients with genital prolapse who have underwent laparoscopic sacrocolpopexy performed at the Obstetrics and Gynecology Ward of MBAL "Trakia" EOOD, Stara Zagora, Bulgaria, for a period of 3 years. We performed gynecological examinations and patient history and objective data on a number of indicators related to the perioperative status of patients.
RESULTS: In our study, the anatomically successful surgeries were 94.9% (338), with 5.1% (18) recurrence 72.2% (13) of them were cystocele, 22.2% (4) - rectocele and only one (5.6%) - mixed). The subjective success rate - fully satisfied, is 86.47% (308). Moderately satisfied (patients with mesh erosion and newly occurring stress and mixed incontinence) were 8.42% (30), underdeveloped - 5.1% (18). Perioperative complications - hematoma of the abdominal wall around the trocar opening - 2; vaginal wall lesion during surgery for prolapse of the vault after hysterectomy - 4; rectum lesion - 1; postoperative ileus - 1. Mesh erosion in 9 patients (2.53%). De novo stress incontinence 6,46 % (23), de novo detrusor instability - 6.74% (24).
CONCLUSION: Laparoscopic sacrocolpopexy is an operative method that shows good anatomical and functional results for the treatment of genital prolapse in women.
OBJECTIVE: To assess the subjective and objective rate of success and complications after laparoscopic sacrocolpopexy.
STUDY DESIGN: We followed 356 of the 482 patients with genital prolapse who have underwent laparoscopic sacrocolpopexy performed at the Obstetrics and Gynecology Ward of MBAL "Trakia" EOOD, Stara Zagora, Bulgaria, for a period of 3 years. We performed gynecological examinations and patient history and objective data on a number of indicators related to the perioperative status of patients.
RESULTS: In our study, the anatomically successful surgeries were 94.9% (338), with 5.1% (18) recurrence 72.2% (13) of them were cystocele, 22.2% (4) - rectocele and only one (5.6%) - mixed). The subjective success rate - fully satisfied, is 86.47% (308). Moderately satisfied (patients with mesh erosion and newly occurring stress and mixed incontinence) were 8.42% (30), underdeveloped - 5.1% (18). Perioperative complications - hematoma of the abdominal wall around the trocar opening - 2; vaginal wall lesion during surgery for prolapse of the vault after hysterectomy - 4; rectum lesion - 1; postoperative ileus - 1. Mesh erosion in 9 patients (2.53%). De novo stress incontinence 6,46 % (23), de novo detrusor instability - 6.74% (24).
CONCLUSION: Laparoscopic sacrocolpopexy is an operative method that shows good anatomical and functional results for the treatment of genital prolapse in women.