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(Uterine Prolapse)
6,206 results
  • Clinical outcomes in women undergoing laparoscopic hysteropexy: A systematic review. [Review]
  • EJEur J Obstet Gynecol Reprod Biol 2016 Nov 20; 208:71-80
  • Nair R, Nikolopoulos KI, Claydon LS
  • CONCLUSIONS: Laparoscopic hysteropexy was associated with good anatomic cure rates of greater than 90% in majority of the studies. There was an improvement in symptoms, and good subjective cure rates in 73%-100% of the patients. Reoperation rates were low in most studies ranging from around 0%-28%. Complications rates were generally low. Laparoscopic hysteropexy is a feasible alternative for women needing surgical correction of uterovaginal prolapse and who desire conservation of the uterus.
  • Surgery for women with apical vaginal prolapse. [Review]
  • CDCochrane Database Syst Rev 2016 Oct 1; 10:CD012376
  • Maher C, Feiner B, … Brown J
  • CONCLUSIONS: Sacral colpopexy is associated with lower risk of awareness of prolapse, recurrent prolapse on examination, repeat surgery for prolapse, postoperative SUI and dyspareunia than a variety of vaginal interventions.The limited evidence does not support use of transvaginal mesh compared to native tissue repair for apical vaginal prolapse. Most of the evaluated transvaginal meshes are no longer available and new lighter meshes currently lack evidence of safetyThe evidence was inconclusive when comparing access routes for sacral colpopexy.No clear conclusion can be reached from the available data comparing uterine preserving surgery versus vaginal hysterectomy for uterine prolapse.
  • Laparoscopic Pectouteropexy: Alternative Technique for Uterine Preservation. [Journal Article]
  • JMJ Minim Invasive Gynecol 2016 Nov - Dec; 23(7):1028-1029
  • Kale A, Terzi H, Usta T
  • CONCLUSIONS: The iliopectineal ligament is far from the ureter, intestine, sigmoid, and presacral veins during surgery, so the iliopectineal ligament is in a safe anatomic zone for uterine preservation surgery. Laparoscopic pectouteropexy might be an alternative technique for preservation of the uterus in young patients.
  • Incarceration of the Gravid Uterus. [Journal Article]
  • OGObstet Gynecol Surv 2016; 71(10):613-619
  • Shnaekel KL, Wendel MP, … Magann EF
  • CONCLUSIONS: Incarceration of the gravid uterus is a rare but serious complication of pregnancy. The diagnosis is clinical and confirmed with imaging, with magnetic resonance imaging being superior to delineate the distorted maternal anatomy. Reduction of the incarcerated uterus should be attempted to restore polarity and avoid unnecessary cesarean delivery.
  • Intraoperative cervix location and apical support stiffness in women with and without pelvic organ prolapse. [Journal Article]
  • AJAm J Obstet Gynecol 2016 Sep 8
  • Swenson CW, Smith TM, … DeLancey JO
  • CONCLUSIONS: Approximately 50% of women with cystocele and/or rectocele but normal apical support in the clinic had cervix locations outside the normal range under intraoperative traction, while 19% of women with uterine prolapse had normal apical support. Identifying women whose apical support falls outside a defined normal range may be a more accurate way to identify those who truly need a hysterectomy and/or an apical support procedure and to spare those who do not.
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