کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3442736 1595029 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Posterior vaginal sling experience in elderly patients yields poor results
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Posterior vaginal sling experience in elderly patients yields poor results
چکیده انگلیسی

ObjectiveThe objective of the study was to evaluate our experience with the posterior vaginal sling in an elderly population.Study designElderly patients with significant vaginal prolapse underwent a posterior vaginal sling using the IVS Tunneller device (Tyco Healthcare, United States Surgical, Norwalk, CT). Primary failure was defined as a postoperative pelvic organ prolapse quantitative point C (the apex of the vagina) within 2 cm of the preoperative value. Secondary failure was defined as any portion of the anterior or posterior vaginal walls protruding to or beyond the hymeneal ring (pelvic organ prolapse quantitative points Aa or Ap equal to or greater than 0).ResultsTwenty-one patients underwent the procedure; 19 were seen for follow up. The average age was 70 years (range 60-78). Twelve patients had primary or secondary failures (12 of 19, 63%). There were 5 primary failures (5 of 19, 26%) and 7 secondary failures (7 of 19, 37%). The mean time to failure was 7 weeks (range 1-18).ConclusionIn our elderly population, the posterior vaginal sling has a high failure rate, occurring early in the postoperative period.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Obstetrics and Gynecology - Volume 194, Issue 5, May 2006, Pages 1462–1466
نویسندگان
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