再発性腟脱に対する腟端・仙骨前面固定術の経験

概要

論文の詳細を見る
Four cases of recurrent vaginal prolapse and two cases of vaginal prolapse after hysterectomy or prolapse repair were treated by abdominal sacral colpopexy with polypropylene mesh. The average time of surgery and estimated blood loss were 147 minutes and 111 ml, respectively. Postoperative telephone inquiry between 12 and 60 months after the operation showed 100% relief of prolapse and unchanged defecation and micturition patterns. Two patients with preoperative mild stress incontinence reported no immediate postoperative changes. One patient had postoperative dyspareunia which resolved later with estrogen replacement. The abdominal sacral colpopexy with polypropylene mesh appears an effective treatment for vaginal prolapse after hysterectomy and for recurrence after repair procedures.
社団法人日本産科婦人科学会の論文
2002-12-01