Transobturator correction of cystocele
Palma, P., Rane, A., Riccetto, C., Hermann, V., Dambros, M., and Tarazona, A. (2005) Transobturator correction of cystocele. Actas Urologicas Espanolas, 29 (1). pp. 89-92.
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Objective: We present our initial experience with the Perigee system for anterior vaginal wall prolepses repair. Material and method: 15 patients with anterior vaginal wall prolapse (mean age: 62 years old) underwent implanted with Perigee system which is composed by a mesh for correcting central defect and four self-attached horns for correcting lateral defect. The implanted procedure consist of four steps: 1) lateral vaginal wall dissection as far as isquiopubic branch; 2) performance of two upper marks at genitofemoral foldy and two lower marks at 2 cm laterally and 3 cm lower; 3) insertion of the upper needles parallel to the isquiopubic branch and connection with the mesh’s "arms" plus insertion of the lower needles vertically and connection with mesh’s "legs"; 4) to adjust the mesh free tension. The system POP-Q was used as an objective measure of correction rate. Results: Preoperatively, the point Aa was 0.09. After 6 weeks and three months postoperatively was -3.00 and -2.73 respectively. Preoperatively, the point Ba was 1.73. After 6 weeks and three months postoperatively was -2.82 and -2.82 respectively. No major complications were presented. No vascular damage or significant bleeding was observed. Conclusion: The transobturator correction of cystocele is and attractive alternative. The initial good outcome may be expected to be long lasting.
|Item Type:||Article (Refereed Research - C1)|
Article in Spanish. Title: Corrección transobturatoria de los cistoceles Keywords: Cistocele; corrección transopturotriz
|Keywords:||Cystocele; transobturator correction|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%|
|SEO Codes:||92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 100%|
|Deposited On:||17 Dec 2009 10:46|
|Last Modified:||13 Feb 2011 04:10|
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