Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal: experiencia en el Hospital de Quilpué, Chile

D. Francisco Kaplan, A. Hernán Quinchavil, A. Pablo Riera, C. Robinson Flores, A. Oscar Becerra, G. Tiare Hevia, R. Daniela Bustos, B. Javiera Opazo

Resultado de la investigación: Article

Resumen

Introduction: The abdominal sacral-colpopexy is currently considered the gold standard for the management of (CSPA) vaginal vault prolapse (PCV). Objective: To report our surgical experience at a county hospital with our first seven abdominal sacral-colpopexy cases. Reporting intra and post-operative complications. Methods: We conducted a prospective descriptive study involving our first seven cases of patients with symptomatic vaginal vault prolapse stage III or IV (POP-Q) without urinary incontinence. All patients were undergoing CSPA with a partially absorbable mesh in the Obstetrics and Gynecology Department at the Quilpué Hospital. Results: Seven patients were recruited. None of them presented a life threatening complication during a mean follow up period of 33 months. A hundred percent of patients achieved objetive cure defined as POP-Q stage 0 or I and subjective cure defined as a significant improvement in a validated questionnaire (PFIQ-7 spanish version). During patients follow up, only one patient had an asymptomatic 5 mm mesh exposure, resolved with a vaginal resection. None of the patients required surgery for pelvic organ prolapse after the CSPA. Conclusion: These results are in agreement with the international literature. The CSPA continues to be the gold standard for the PCV treatment of vaginal vault prolapse and has not been surpassed by either vaginal technique or the laparoscopic sacral-colpopexy. We believe that the use of partially reabsorbable meshes can decrease the rate of mesh exposure, however further studies are required.

Idioma originalSpanish
Páginas (desde-hasta)215-220
Número de páginas6
PublicaciónRevista Chilena de Obstetricia y Ginecologia
Volumen80
N.º3
EstadoPublished - 1 ene 2015
Publicado de forma externa

Huella dactilar

Pelvic Organ Prolapse
Chile
County Hospitals
Hospital Obstetrics and Gynecology Department
Urinary Incontinence
Gynecology
Prospective Studies

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Citar esto

Kaplan, D. F., Quinchavil, A. H., Riera, A. P., Flores, C. R., Becerra, A. O., Hevia, G. T., ... Opazo, B. J. (2015). Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal: experiencia en el Hospital de Quilpué, Chile. Revista Chilena de Obstetricia y Ginecologia, 80(3), 215-220.
Kaplan, D. Francisco ; Quinchavil, A. Hernán ; Riera, A. Pablo ; Flores, C. Robinson ; Becerra, A. Oscar ; Hevia, G. Tiare ; Bustos, R. Daniela ; Opazo, B. Javiera. / Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal : experiencia en el Hospital de Quilpué, Chile. En: Revista Chilena de Obstetricia y Ginecologia. 2015 ; Vol. 80, N.º 3. pp. 215-220.
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abstract = "Introduction: The abdominal sacral-colpopexy is currently considered the gold standard for the management of (CSPA) vaginal vault prolapse (PCV). Objective: To report our surgical experience at a county hospital with our first seven abdominal sacral-colpopexy cases. Reporting intra and post-operative complications. Methods: We conducted a prospective descriptive study involving our first seven cases of patients with symptomatic vaginal vault prolapse stage III or IV (POP-Q) without urinary incontinence. All patients were undergoing CSPA with a partially absorbable mesh in the Obstetrics and Gynecology Department at the Quilpu{\'e} Hospital. Results: Seven patients were recruited. None of them presented a life threatening complication during a mean follow up period of 33 months. A hundred percent of patients achieved objetive cure defined as POP-Q stage 0 or I and subjective cure defined as a significant improvement in a validated questionnaire (PFIQ-7 spanish version). During patients follow up, only one patient had an asymptomatic 5 mm mesh exposure, resolved with a vaginal resection. None of the patients required surgery for pelvic organ prolapse after the CSPA. Conclusion: These results are in agreement with the international literature. The CSPA continues to be the gold standard for the PCV treatment of vaginal vault prolapse and has not been surpassed by either vaginal technique or the laparoscopic sacral-colpopexy. We believe that the use of partially reabsorbable meshes can decrease the rate of mesh exposure, however further studies are required.",
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Kaplan, DF, Quinchavil, AH, Riera, AP, Flores, CR, Becerra, AO, Hevia, GT, Bustos, RD & Opazo, BJ 2015, 'Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal: experiencia en el Hospital de Quilpué, Chile', Revista Chilena de Obstetricia y Ginecologia, vol. 80, n.º 3, pp. 215-220.

Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal : experiencia en el Hospital de Quilpué, Chile. / Kaplan, D. Francisco; Quinchavil, A. Hernán; Riera, A. Pablo; Flores, C. Robinson; Becerra, A. Oscar; Hevia, G. Tiare; Bustos, R. Daniela; Opazo, B. Javiera.

En: Revista Chilena de Obstetricia y Ginecologia, Vol. 80, N.º 3, 01.01.2015, p. 215-220.

Resultado de la investigación: Article

TY - JOUR

T1 - Colposacropexia abdominal abierta con malla mixta en el prolapso de cúpula vaginal

T2 - experiencia en el Hospital de Quilpué, Chile

AU - Kaplan, D. Francisco

AU - Quinchavil, A. Hernán

AU - Riera, A. Pablo

AU - Flores, C. Robinson

AU - Becerra, A. Oscar

AU - Hevia, G. Tiare

AU - Bustos, R. Daniela

AU - Opazo, B. Javiera

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Introduction: The abdominal sacral-colpopexy is currently considered the gold standard for the management of (CSPA) vaginal vault prolapse (PCV). Objective: To report our surgical experience at a county hospital with our first seven abdominal sacral-colpopexy cases. Reporting intra and post-operative complications. Methods: We conducted a prospective descriptive study involving our first seven cases of patients with symptomatic vaginal vault prolapse stage III or IV (POP-Q) without urinary incontinence. All patients were undergoing CSPA with a partially absorbable mesh in the Obstetrics and Gynecology Department at the Quilpué Hospital. Results: Seven patients were recruited. None of them presented a life threatening complication during a mean follow up period of 33 months. A hundred percent of patients achieved objetive cure defined as POP-Q stage 0 or I and subjective cure defined as a significant improvement in a validated questionnaire (PFIQ-7 spanish version). During patients follow up, only one patient had an asymptomatic 5 mm mesh exposure, resolved with a vaginal resection. None of the patients required surgery for pelvic organ prolapse after the CSPA. Conclusion: These results are in agreement with the international literature. The CSPA continues to be the gold standard for the PCV treatment of vaginal vault prolapse and has not been surpassed by either vaginal technique or the laparoscopic sacral-colpopexy. We believe that the use of partially reabsorbable meshes can decrease the rate of mesh exposure, however further studies are required.

AB - Introduction: The abdominal sacral-colpopexy is currently considered the gold standard for the management of (CSPA) vaginal vault prolapse (PCV). Objective: To report our surgical experience at a county hospital with our first seven abdominal sacral-colpopexy cases. Reporting intra and post-operative complications. Methods: We conducted a prospective descriptive study involving our first seven cases of patients with symptomatic vaginal vault prolapse stage III or IV (POP-Q) without urinary incontinence. All patients were undergoing CSPA with a partially absorbable mesh in the Obstetrics and Gynecology Department at the Quilpué Hospital. Results: Seven patients were recruited. None of them presented a life threatening complication during a mean follow up period of 33 months. A hundred percent of patients achieved objetive cure defined as POP-Q stage 0 or I and subjective cure defined as a significant improvement in a validated questionnaire (PFIQ-7 spanish version). During patients follow up, only one patient had an asymptomatic 5 mm mesh exposure, resolved with a vaginal resection. None of the patients required surgery for pelvic organ prolapse after the CSPA. Conclusion: These results are in agreement with the international literature. The CSPA continues to be the gold standard for the PCV treatment of vaginal vault prolapse and has not been surpassed by either vaginal technique or the laparoscopic sacral-colpopexy. We believe that the use of partially reabsorbable meshes can decrease the rate of mesh exposure, however further studies are required.

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