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A Laparoscopic Conservative Surgery Approach to Puerperium Complicated by Uterine Prolapse After Vaginal Delivery: A Case Series

OBJECTIVE: In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele after vaginal delivery. CASE REPORT: We presen...

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Detalles Bibliográficos
Autores principales: Seca, Marta, Algeri, Paola, Colonna, Laura, Mastrocola, Nunzia, Von Wunster, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394484/
https://www.ncbi.nlm.nih.gov/pubmed/37538227
http://dx.doi.org/10.18502/jfrh.v17i1.11980
Descripción
Sumario:OBJECTIVE: In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele after vaginal delivery. CASE REPORT: We presented a successful case series of three patients with III or IV degrees of hysterocele who were treated conservatively with an uncomplicated laparoscopic hysteropexy within a year of delivery. Given our patients’ young ages and the fact that they all have infant children at home, we chose a conservative surgery performed laparoscopically due to the lower surgical impact and quicker return to normal life. All surgical procedures were successfully performed, without complications, with a prompt recovery of all women and with a regular subsequent follow-up, without recurrence nowadays. CONCLUSION: For young women who have not terminated their desire to bear children, laparoscopic hysterepexy may be a safe and effective surgical option.