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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 68 - 74 (7page)
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Purpose: This study aimed to investigate the surgical outcomes and safety of robotic sacrocolpopexy (RSC) in patients with uterine/vaginal vault prolapse.
Methods: Between January 2009 and June 2015, 16 women with apical prolapse underwent RSC. Pelvic organ prolapse quantification (POP-Q) examination was performed, and treatment success was defined as the presence of grade 0 or I apical prolapse upon POP-Q examination at the final follow-up. Pelvic floor distress inventory-short form 20 (PFDI-SF 20) was administered at every follow-up. A treatment satisfaction questionnaire was administered by telephone to evaluate patient satisfaction with the operation.
Results: Median age was 65 years (interquartile range [IQR], 56–68 years), and follow-up duration was 25.3 months (IQR, 5.4–34.0 months). Thirteen women (81.3%) had ≥grade III apical prolapse. Operation time was 251 minutes (IQR, 236–288 minutes), and blood loss was 75 mL (IQR, 50–150 mL). Median hospital stay was 4 days (IQR, 3–5 days). At the final followup, treatment success was reported in all patients, who presented grade 0 (n=8, 57.1%) and grade I (n=6, 42.9%) apical prolapse.
Dramatic improvements in PFDI-SF 20 scores were noted after RSC (from 39 to 4; P=0.001). Most patients (12 of 13) were satisfied with RSC. An intraoperative complication (sacral venous plexus injury) was reported in 1 patient, and there was no conversion to open surgery. Mesh erosion was not reported.
Conclusions: RSC is an efficient and safe surgical option for apical prolapse repair. Most patients were satisfied with RSC.
Thus, RSC might be one of the best treatment options for apical prolapse in women.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
/ / Urogynecologic surgical mesh: update on the safety and effectiveness of transvaginal placement for pelvic organ prolapse
Anger JT / 2014 / Robotic compared with laparoscopic sacrocolpopexy : a randomized controlled trial / Obstet Gynecol 123 : 5 ~ 12
Di Marco DS / 2004 / Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse / Urology 63 : 373 ~ 376
Ganatra AM / 2009 / The current status of laparoscopic sacrocolpopexy : a review / Eur Urol 55 : 1089 ~ 1103
Haylen BT / 2011 / An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications rela
Anger JT / 2014 / Robotic compared with laparoscopic sacrocolpopexy : a randomized controlled trial / Obstet Gynecol 123 : 5 ~ 12
Di Marco DS / 2004 / Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse / Urology 63 : 373 ~ 376
Ganatra AM / 2009 / The current status of laparoscopic sacrocolpopexy : a review / Eur Urol 55 : 1089 ~ 1103
Haylen BT / 2011 / An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications rela
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