Pelvik organ prolapsusu olan üreme çağındaki kadınların uterus koruyucu cerrahisinde laparoskopik ve transvajinal meş operasyonlarının etkinliğinin karşılaştırılması (evre ≥2)

Yıl 2021, Cilt: 46 Sayı: 1, 141 - 148, 31.03.2021

Gökmen Sukgen , Ünal Turkay , Mehmet Ozsurmeli

Öz

Amaç: Bu çalışmanın amacı, pelvik prolapsusu (POP) olan (evre≥2) üreme çağındaki kadınlarda laparoskopik ve transvajinal meş ameliyatlarının etkinliğini ile karşılaştırmaktır.
Gereç ve Yöntem: Bu çalışmada, semptomatik POP-Q evre 2 ve üzeri pelvik prolapsus tanısı alan laparoskopik cerrahi geçiren 22 hasta ile (Grup-1), transvajinal meş (TVM) uygulanan 83 olguyu (grup 2) retrospektif olarak değerlendirdik. Prolapsus Pelvik Organ POP-Q kullanılarak derecelendirildi. Mevcut TVM cerrahi kitleri olarak dört kollu mesh kullanıldı.
Bulgular: Her iki gruptaki hastaların ortalama yaşı sırasıyla 42,2 ± 11,4 ve 38,3 ± 12,8 yıldı. Laparoskopi yapılan hastaların ortalama hastanede kalış süresi 2,3 gün (1-4 gün), bu süre Grup-2'de 3 gün (2-4 gün) olarak gözlendi. Hastalarımızın hiçbirinde erken veya geç dönemde herhangi bir yan etki görülmedi. Başarı oranı laparoskopik cerrahi uygulanan hastalarda% 95.45 iken TVM cerrahisi grubunda% 98.10 idi.
Sonuç: Transvajinal meş cerrahisinin, yüksek başarı oranı ve minimal komplikasyon oranları nedeniyle pelvik organ prolaps cerrahisinde başarılı bir teknik olduğu gösterilmiştir.

Anahtar Kelimeler

Pelvic Prolapse, Laparoscopic Surgery, Transvaginal Mesh Surgery

Comparison of effectiveness of laparoscopic and transvaginal mesh operations in uterus protective surgery of women in reproductive-age with pelvic organ prolapse (stage ≥2).

Öz

Purpose: The aim of this study was to compare the efficiency of laparoscopic and transvaginal mesh operations with conservative surgery of reproductive-age women with pelvic organ prolapse (stage≥2) (POP).
Materials and Methods: In this study, we retrospectively evaluated 22 cases of 105 patients who diagnosed with symptomatic POP-Q stage 2 and above pelvic prolapse, part of whom underwent laparoscopic surgery (Group-1) while the other part composed of those who underwent transvaginal mesh (TVM) surgery (Group-2). Urogenital prolapse Pelvic Organ was graded using POP-Q.As the current TVM surgical kits four-arms mesh was used.
Results: The mean age of the patients of both groups was 42.2±11.4 and 38.3±12.8 years, respectively. The mean duration of hospitalization for the patients underwent laparoscopy was 2.3 days (range:1-4 days), that period was observed as 3 days in Group-2 (range:2-4 days). None of our patients had any adverse reactions in the early or late stages. The rate of success was 95.45% for patients who underwent laparoscopic surgery, while it was 98.10% for the group of TVM surgery.
Conclusion: Transvaginal mesh surgery was found to be a relatively successful technique in pelvic organ prolapse surgery owing to the high rate of success and minimal rates of complications.

Kaynakça

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