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Date Published: 09/06/2023
Online Published: 09/06/2023
Abstract Views: 324
Views PDF: 238
Issue
No. 37 (2021)
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Article
How to Cite
Nguyen , V. B., Phan, D. H., Nguyen , T. H., Cao, V. D., Huynh, H. D. K., Vo , D. B., Le , N. P., Chung, Y. N. M., Le , K. N., Le , T. P., Huynh, C. T., Nguyen , L. T., Mai, H. K., Huynh, N. T. V., Pham , H. K., Dinh, C. T., Nguyen , T. T., Nguyen , N. P. T., Nguyen , Đ. H., & Phan, H. T. (2023). THE RESULTS OF LAPAROSCOPIC SACRAL COLPOPEXY FOR TREATMENT OF SEVERE PELVIC ORGANS PROLAPSE AT XUYEN A HOSPITAL. Cantho Journal of Medicine and Pharmacy, 37, 233-239. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/1114

THE RESULTS OF LAPAROSCOPIC SACRAL COLPOPEXY FOR TREATMENT OF SEVERE PELVIC ORGANS PROLAPSE AT XUYEN A HOSPITAL

Vinh Binh Nguyen 1,, Duc Huu Phan1, Truong Hoan Nguyen 1, Vinh Duy Cao1, Hua Duy Khang Huynh1, Dinh Bao Vo 1, Nguyen Phu Le 1, Y Nhat Minh Chung1, Khai Ngoc Le 1, Thanh Phong Le 1, Cong Thanh Huynh1, Le Tuyen Nguyen 1, Hoang Khoa Mai1, Nguyen Truong Vinh Huynh1, Hung Kien Pham 1, Cong Thinh Dinh1, Tan Trung Nguyen 1, Ngoc Phuong Tam Nguyen 1, Đuc Hung Nguyen 1, Huy Thong Phan1
1 Xuyen A General Hospital

Main Article Content

Abstract

  Background: Pelvic organs prolapse is very popular in old women and causes bad quality of life. Surgical treatment is indicated in severe cases. Objectives: To evaluate the feasibility, the efficacy and the safety of the laparoscopic sacral colpopexy for treatment of severe genital prolapses in women at Xuyen A hospital. Materials and methods: This was a descriptive case series study. Patients with severe genital prolapses (grade III– IV) were chosen. The procedures were transperitoneal laparoscopy from Sept 2015 to Nov 2020. Results: 79 prolapses of uterine (39 grade III and 40 grade IV) and 2 prolapses of vaginal cuff (grade III). The patients’ mean age was 65.8 ± 14.2. The mean operative time was 174.6 ± 65.4 minutes. The mean blood loss was 56.6 ± 32.9 ml. The mean hospitalization time was 13.9 ± 10.2 days. We have just followed up 74 patients. With the mean follow-up of 11.3 ± 5.8 month. The success rate 97.3%, the anatomic results were satisfactory without recurrence in 76 patients (93.8%). Conclusion: Sacral colpopexy by laparoscopy is feasible, safe and efficacious for treatment of severe genital prolapses in female.

Article Details

Keywords

Pelvic organs prolapse, Laparoscopy, Promontofixation, Sacral Colpopexy

References

1. Nguyễn Văn Ân, Võ Trọng Thanh Phong, Phạm Hữu Đoàn, Nguyễn Tế Kha, Nguyễn Ngọc Châu, Ngô Đại Hải, Phạm Phú Phát (2014) Áp dụng phẫu thuật nội soi treo âm đạo vào mỏm nhô để điều trị sa sinh dục nặng. Y học TPHCM. 18(1) 424-429.
2. Nguyễn Bá Mỹ Nhi, Phan Thị Nga, Văn Phụng Thống, Nguyễn Thị Vĩnh Thành, Nguyễn Thị Thanh Tâm, Hồ Kỳ Thu Nguyệt, Nguyễn Bá Mỹ Ngọc (2011) Đánh giá bước đầu hiệu quả và độ an toàn của phẫu thuật treo tử cung vào mỏm nhô xương qua nội soi ổ bụng trong điều trị sa tử cung tại bệnh viện Từ Dũ. Y học TPHCM. 14(2), 89-95.
3. Đỗ Nguyên Phương, Trần Quang Phúc, Nguyễn Thị Nga, Châu Quý Thuận, Trần Trọng Trí, Trần Ngọc Sinh (2010) Phẫu thuật nội soi ổ bụng gây tổn thương nặng hệ tiết niệu. Tạp chí Y học Việt Nam, tập 375, 554-557.
4. Agarwala N, Hasiak N, Shade M (2007) Laparoscopic sacral colpopexy with Gynemesh as graft material--experience and results. J Minim Invasive Gynecol. 14 (5), 577-583.
5. Bacle J, Paptsoris AG, Bigot P et al (2011) Laparoscopic promontofixation for pelvic organ prolapse: A 10-year single center experiencr in a series of 501 cases. Int J Urol. 18, 821- 826.
6. Mustafa S, Amit A, Filmar S, Deutsch M, Netzer I, ItskovitzEldor J. Lowenstein (2012) Implementation of laparoscopic sacrocolpopexy: establishment of a learning curve and shortterm outcomes. Arch Gynecol Ostet. 286 (4), 983-988.
7. Nezhat et al (1994) Laparoscopic sacral colpopexy for vaginal vault prolapse. Obstet Gynecol. 84(5), 885-888
8. Paraiso MFR, Walters MD, Rackley RR, Melek S, Hugney C (2005) Laparoscopic and abdominal sacral colpopexies: A comparative cohort study. American Journal of Obstetrics and Gynecology. 192, 1752–1758.
9. Rozet F, Mandron E, Arroyo C, et al (2005). Laparoscopic sacral colpopexy approach for genito-urinary prolapse: experience with 363 cases. Eur Urology;47:230–236.
10. Sabbagh R, Mandron E, Piussan J, Brychaert PE and Le MT (2010) Long-term anatomical and functional results of laparoscopic promontofixation for pelvic organ prolapsed. BJU Int. 106, 861-866.
11. Stepanian AA, Miklos JR, Moore RD, and Mattox TF (2008) Risk of Mesh Extrusion and Other Mesh-Related Complications After Laparoscopic Sacral Colpopexy with or without Concurrent Laparoscopic-Assisted Vaginal Hysterectomy: Experience of 402 Patients. J Minim Invasive Gynecol. 15, 188–196