Laparoscopic mesh procedures for the treatment of pelvic organ prolapse – review of the literature

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(1)Ginekol Pol. 2014, 85, 950-954. 4 6 % ' ) 4 3 + 0 Á ( 3 ; ) ginekolog i a. Laparoscopic mesh procedures for the treatment of pelvic organ prolapse – review of the literature Zabiegi laparoskopowe z użyciem materiałów syntetycznych w leczeniu zaburzeń statyki narządu rodnego – przegląd literatury

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(10) ! II Katedra i Klinika Ginekologii Operacyjnej Uniwersytetu Medycznego w Lublinie, Polska. Abstract Objectives: The main aim of the article was to describe laparoscopic mesh procedures for the treatment of pelvic organ prolapse, as well as evaluate their role, outcomes and limitations. Material and methods: In February 2014, online search of English-language literature in PubMed was performed. This paper presents the analysis of reports published over the last decade that included at least 50 patients with a minimum of 12 months of follow-up. Results: Numerous laparoscopic techniques to restore proper anatomy in patients with pelvic organ prolapse have been described. Laparoscopy provides a number of important advantages, including enhanced visualization of the pelvic anatomy, reduction of adhesion formation, lower morbidity and blood loss, decreased postoperative pain, smaller incision and quicker recovery. Nonetheless, this access is technically more diﬃcult than an open or vaginal surgery due to two-dimensional vision and decreased degrees of freedom. It requires high level of laparoscopic suturing skills and longer operative time, especially at the beginning of the learning curve. Conclusions: Laparoscopic sacrocolpopexy, hysteropexy and lateral suspension are interesting and eﬀective options for the treatment of pelvic organ prolapse, providing a number of important advantages characteristic for endoscopic techniques.. Key words: pelvic organ prolapse / laparoscopy / sacrocolpopexy / hysteropexy / / laparoscopic lateral suspensione / Streszczenie Cel pracy: Celem pracy jest opis zabiegów laparoskopowych z użyciem materiałów syntetycznych w leczeniu zaburzeń statyki narządu rodnego, ocena ich skuteczności i ograniczeń w stosowaniu. Materiał i metody: W lutym 2014 roku dokonano przeglądu literatury anglojęzycznej dostępnej w bazie PubMed. W poniższej publikacji poddano analizie wyniki badań opublikowanych w ciągu ostatnich 10 lat, przeprowadzonych na grupie co najmniej 50 pacjentek, u których efekt zabiegu został oceniony po minimum 12 miesiącach od operacji. Wyniki: W leczeniu zaburzeń statyki narządu rodnego zostało opisanych wiele technik laparoskopowych. Laparoskopia daje możliwość lepszej wizualizacji struktur anatomicznych, redukuje ilość zrostów oraz dolegliwości bólowych po operacji, zmniejsza utratę krwi i przyczynia się do szybszego powrotu do zdrowia. Ten typ operacji jest jednak trudniejszy od zabiegów pochwowych lub wykonywanych z klasycznego dostępu ze względu na dwuwymiarowe widzenie i ograniczoną swobodę ruchów, jak również wymaga umiejętności laparoskopowego szycia i dłuższego czasu operacji zwłaszcza na początku nauki.. Adres do korespondencji: Krzysztof Gałczyński II Katedra i Klinika Ginekologii, Uniwersytet Medyczny w Lublinie, SPSK 4, 20-954 Lublin, ul. Jaczewskiego 8, Polska tel. +48 81 72 44 686 e-mail: rechbergt@yahoo.com. 950. Otrzymano: 23.04.2014 Zaakceptowano do druku: 19.06.2014. © Polskie Towarzystwo Ginekologiczne. Nr 12/2014.

(11) Ginekol Pol. 2014, 85, 950-954. 4 6 % ' ) 4 3 + 0 Á ( 3 ; ) g i n e kol og i a. Krzysztof Gałczyński et al. Laparoscopic mesh procedures for the treatment of pelvic organ prolapse – review of the literature.. Wnioski: Laparoskopowa sakrokolpopeksja, histeropeksja i boczne podwieszenie macicy są interesującymi i skutecznymi metodami leczenia zaburzeń statyki narządu rodnego dającymi przy tym korzyści typowe dla zabiegów endoskopowych.. Słowa kluczowe:

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