چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| سکینه حاج ابراهیمی | اول |
| پروین باستانی علمداری | دوم |
| سنا طیبی | سوم |
| ملاحت ابراهیم پور | چهارم |
| امیر قابوسیان | پنجم |
| الهام جهان تابی | ششم |
| هانیه صالحی پورمهر | هفتم |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Introduction and Objectives: This case series aimed to compare the outcome of anterior sacrospinous ligament fixation (SSLF) approach with the standard posterior SSLF approach, for the treatment of apical compartment Pelvic organ prolapse (POP). Materials and Methods: One hundred thirty five patients who underwent anterior /posterior SSLF from January 2018 to December 2020 were evaluated with POP quantification (POP-Q) system. In addition, demographic data, intra- and postoperative complications, were also recorded. Data were analyzed using SPSS version /21. P<0.05 was considered statistically significant. Results: Sixty-seven (49.6%) patients underwent posterior SSLF and 68 (50.4%) underwent bilateral meshless anterior SSLF. The mean age of patients were 58.23±9.78 and 64.98±11.63, respectively (P<0.001). The results of Fisher\'s Exact Test showed that the majority of cases in women who underwent posterior approach had stage III apical prolapse (n=50, 74.6%), whereas in anterior approach 36 women (65.5%) had stage II of apical prolapse (P<0.001). Following the treatment, no significant difference was detected between these two vaginal approaches in terms of objective success rate (P>0.05). Success rate was considered as post operative apical POPQ stage 1 or less. Just one case of post-operative recurrence was found in the posterior group, which ultimately led to surgical retreatment. No major intra- or postoperative complication was identified in both groups. Post-operative total vaginal length (TVL) was greater than or equal to 10 cm in patients who underwent anterior SSLF. Conclusion: It appears that anterior SSLF approach can be regarded as effective as posterior approach in the management of apical POP. Therefore, the proper surgical technique can be chosen according to surgeon\'s expertise and other compartments prolapse status. |
| کلمات کلیدی | Anterior ،Sacrospinous Ligament |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Capture.JPG | 1400/09/07 | 88886 | دانلود |
| document(1).pdf | 1400/09/07 | 3678970 | دانلود |
