医学
阴道穹窿脱垂
外科
阴道穹窿
失血
子宫切除术
前瞻性队列研究
作者
Antonio Pellegrino,Gianluca Raffaello Damiani,Mario Villa,Ciro Sportelli,Maria Grazia Pezzotta
出处
期刊:Minerva obstetrics and gynecology
[Edizioni Minerva Medica]
日期:2017-01-01
卷期号:69 (1)
被引量:10
标识
DOI:10.23736/s0026-4784.16.03937-x
摘要
The aim of this paper was to evaluate the feasibility, short-term complications of robotic surgery and clinical outcomes in terms of long-term complications, pain relief and recurrence rate, for the treatment of vaginal vault prolapse (VVP).Prospective analysis of robotic-assisted laparoscopic sacrocolpopexy (RALS) performed between October 2011 and February 2015, in patients with advanced post-hysterectomy VVP and significant apical defects as defined by Baden- Walker Score ≥3.Thirty-one consecutive of RALS were performed, with a mean follow-up of 27 months (range 2-48). Average total operative time was 185 minutes (range: 170-235). Estimated blood loss was 50 ml (range: 30-150). One case of cystotomy was reported, repaired with a 2.0 point. No others intra-operative complications occurred. Successful outcome was reported in 94% (29/31) of VVP repairs.This series demonstrates optimal outcomes at long-term follow-up. RALS may provide the same long-term durability of open sacrocolpopexy with the benefit of a minimally invasive approach.
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