A new laparoscopic technique for uterine prolapse: one-sided uterine fixation through the round ligament.
Int Urogynecol J
; 22(2): 213-9, 2011 Feb.
Article
em En
| MEDLINE
| ID: mdl-20871979
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
In this study, we provide a description of laparoscopic uterine suspension technique through round ligament.METHODS:
From 1997 to 2010, 55 patients with uterine prolapse were treated by laparoscopic uterine suspension. It is performed by suturing and tying a 1-0 Ethibond on the left round ligament at its insertion into the uterus. Then curved forceps pass the lateral puncture wound into the extraperitoneal space along the round ligament and penetrates the anterior leaf of the broad ligament into the peritoneal cavity and grasps the free ends of the Ethibond. They are withdrawn extraperitoneally along the round ligament then tightly tied at the fasciae on either side of the lateral puncture wound.RESULTS:
Forty-two out of 55 patients (76.4%) experienced a reduction of prolapse to stage 0, regardless of what stage they started from. Twelve out of 55 (21.8%) experienced a reduction of prolapse varying from one to two stages. One out of 55 (1.8%) experienced no reduction in prolapse.CONCLUSIONS:
This technique reconstructs a new, inelastic round ligament.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
/
Ligamento Redondo do Útero
/
Prolapso Uterino
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article