RESUMO
We report our experience with Richter spinofixation in association with Bologna cervicocystopexy. Eighteen patients underwent surgery for voluminous prolapse. Spinofixation did not lead to complications. This technique allows a vaginal approach in cases where only an abdominal operation was possible before. Incontinence results were similar to those with the Bologna procedure alone with the additional improvement of allowing a permeable vagina. Currently mean follow-up is 13 months, but these encouraging results suggest that this association should be continued in the future.
Assuntos
Colo do Útero/cirurgia , Ligamentos/cirurgia , Bexiga Urinária/cirurgia , Incontinência Urinária/cirurgia , Prolapso Uterino/cirurgia , Idoso , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Fatores de Tempo , Incontinência Urinária/fisiopatologia , Urodinâmica , Prolapso Uterino/fisiopatologiaRESUMO
The authors describe a case of a desmoid tumor of the anterior abdominal wall. From a review of the world literature, the main characteristics of these tumors are detailed, and the various pathophysiological hypotheses, demonstrating the necessity of exclusively surgical treatment, are presented.