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[Posthysterectomy posterior compartment prolapse: Preliminary results of a novel transvaginal surgical procedure using polypropylene mesh via the low transobturator route].
Ann Chir. 2006 Nov; 131(9):533-9.AC

Abstract

OBJECTIVE

The aim of this study is the description and anatomical and functional outcome assessment of a novel surgical procedure, based on rectovaginal fascia defect repair with polypropylene mesh using the tension-free transobturator and infracoccygeal route based on the integral theory developed by Petros.

MATERIALS AND METHOD

Prospective, consecutive and single centre study performed between February 2003 and April 2005. Inclusion criteria were symptomatic posthysterectomy stage three to four regarding posterior compartment prolapse according to the Baden and Walker classification, with no anterior and/or apical prolapse. Principles and description of this new surgical procedure are described.

RESULTS

Fourteen patients, with a mean age of 63.5 years and a mean body mass index of 29.2, were included in the study. All the patients had previous hysterectomy, 64.3% reported at least one previous surgery for pelvic organ prolapse, 44.5% reported at least one reoperation. All patients complained of rectocele and/or enterocele stage three. No perioperative or postoperative complication occurred. With a median follow-up of 13 months (range 3-32.9), no recurrence and no anterior or apical compartment prolapse occurred. No vaginal erosion an infection of the mesh was observed. The mean level of subjective satisfaction was 9.23 on a visual analogical scale (0-very disappointed, 10-very satisfied).

CONCLUSION

This new surgical procedure is effective and safe for the repair of posthysterectomy large posterior compartment prolapse. A long-term follow-up is required to confirm these promising results.

Authors+Show Affiliations

Département de gynécologie-obstétrique, pavillon Mère-Enfant, hôpital Charles-Nicolle, centre hospitalier universitaire de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. loicsentilhes@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
English Abstract
Journal Article

Language

fre

PubMed ID

16806036

Citation

Sentilhes, L, et al. "[Posthysterectomy Posterior Compartment Prolapse: Preliminary Results of a Novel Transvaginal Surgical Procedure Using Polypropylene Mesh Via the Low Transobturator Route]." Annales De Chirurgie, vol. 131, no. 9, 2006, pp. 533-9.
Sentilhes L, Sergent F, Resch B, et al. [Posthysterectomy posterior compartment prolapse: Preliminary results of a novel transvaginal surgical procedure using polypropylene mesh via the low transobturator route]. Ann Chir. 2006;131(9):533-9.
Sentilhes, L., Sergent, F., Resch, B., Berthier, A., Verspyck, E., & Marpeau, L. (2006). [Posthysterectomy posterior compartment prolapse: Preliminary results of a novel transvaginal surgical procedure using polypropylene mesh via the low transobturator route]. Annales De Chirurgie, 131(9), 533-9.
Sentilhes L, et al. [Posthysterectomy Posterior Compartment Prolapse: Preliminary Results of a Novel Transvaginal Surgical Procedure Using Polypropylene Mesh Via the Low Transobturator Route]. Ann Chir. 2006;131(9):533-9. PubMed PMID: 16806036.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Posthysterectomy posterior compartment prolapse: Preliminary results of a novel transvaginal surgical procedure using polypropylene mesh via the low transobturator route]. AU - Sentilhes,L, AU - Sergent,F, AU - Resch,B, AU - Berthier,A, AU - Verspyck,E, AU - Marpeau,L, Y1 - 2006/06/16/ PY - 2006/01/26/received PY - 2006/05/17/accepted PY - 2006/6/30/pubmed PY - 2007/3/21/medline PY - 2006/6/30/entrez SP - 533 EP - 9 JF - Annales de chirurgie JO - Ann Chir VL - 131 IS - 9 N2 - OBJECTIVE: The aim of this study is the description and anatomical and functional outcome assessment of a novel surgical procedure, based on rectovaginal fascia defect repair with polypropylene mesh using the tension-free transobturator and infracoccygeal route based on the integral theory developed by Petros. MATERIALS AND METHOD: Prospective, consecutive and single centre study performed between February 2003 and April 2005. Inclusion criteria were symptomatic posthysterectomy stage three to four regarding posterior compartment prolapse according to the Baden and Walker classification, with no anterior and/or apical prolapse. Principles and description of this new surgical procedure are described. RESULTS: Fourteen patients, with a mean age of 63.5 years and a mean body mass index of 29.2, were included in the study. All the patients had previous hysterectomy, 64.3% reported at least one previous surgery for pelvic organ prolapse, 44.5% reported at least one reoperation. All patients complained of rectocele and/or enterocele stage three. No perioperative or postoperative complication occurred. With a median follow-up of 13 months (range 3-32.9), no recurrence and no anterior or apical compartment prolapse occurred. No vaginal erosion an infection of the mesh was observed. The mean level of subjective satisfaction was 9.23 on a visual analogical scale (0-very disappointed, 10-very satisfied). CONCLUSION: This new surgical procedure is effective and safe for the repair of posthysterectomy large posterior compartment prolapse. A long-term follow-up is required to confirm these promising results. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/16806036/[Posthysterectomy_posterior_compartment_prolapse:_Preliminary_results_of_a_novel_transvaginal_surgical_procedure_using_polypropylene_mesh_via_the_low_transobturator_route]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-3944(06)00135-0 DB - PRIME DP - Unbound Medicine ER -