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A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse
OBJECTIVE: To study the efficacy and safety of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse. DESIGN: Patients were selected into this study on a voluntary basis to evaluate the short-term efficacy of...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372293/ https://www.ncbi.nlm.nih.gov/pubmed/35965861 http://dx.doi.org/10.3389/fsurg.2022.931691 |
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author | Qin, Zhenyue Dong, Zhiyong Tang, Huimin Zhang, Shoufeng Wang, Huihui Bao, Mingyue Wei, Weiwei Shi, Ruxia Chen, Jiming Xia, Bairong |
author_facet | Qin, Zhenyue Dong, Zhiyong Tang, Huimin Zhang, Shoufeng Wang, Huihui Bao, Mingyue Wei, Weiwei Shi, Ruxia Chen, Jiming Xia, Bairong |
author_sort | Qin, Zhenyue |
collection | PubMed |
description | OBJECTIVE: To study the efficacy and safety of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse. DESIGN: Patients were selected into this study on a voluntary basis to evaluate the short-term efficacy of this surgery by comparing the OP-Q scores before the operation, three months after the operation, and six months after the operation. SETTING AND PATIENTS: Evaluate the clinical efficacy and safety by a retrospective analysis of the clinical data of the 18 patients with POP-Q grade III–IV pelvic organ prolapse treated by the Department of Gynecology of Nanjing Medical University Affiliated Changzhou No.2 People's Hospital from April 2020 to November 2020, and their post-operation follow-ups. INTERVENTIONS: Patients with postoperative follow-ups found no obvious relapse without intervention measures. MEASUREMENTS AND MAIN RESULTS: The transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation was performed successfully, and the anterior and posterior walls of vagina and/or trans-vaginal hysterectomy were repaired as appropriate. Except the total vaginal length (TVL), the P values of numerical analysis for all points before, three months after, and six months after the operation were all <0.05, being statistically significant. CONCLUSION: This method is effective in the treatment of moderate and severe pelvic organ prolapse with few complications, but more cases and longer-term follow-up data are needed to determine the long-term effect of this procedure. For the selection of puncture sites, more anatomical data are needed to get more accurate result. |
format | Online Article Text |
id | pubmed-9372293 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93722932022-08-13 A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse Qin, Zhenyue Dong, Zhiyong Tang, Huimin Zhang, Shoufeng Wang, Huihui Bao, Mingyue Wei, Weiwei Shi, Ruxia Chen, Jiming Xia, Bairong Front Surg Surgery OBJECTIVE: To study the efficacy and safety of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse. DESIGN: Patients were selected into this study on a voluntary basis to evaluate the short-term efficacy of this surgery by comparing the OP-Q scores before the operation, three months after the operation, and six months after the operation. SETTING AND PATIENTS: Evaluate the clinical efficacy and safety by a retrospective analysis of the clinical data of the 18 patients with POP-Q grade III–IV pelvic organ prolapse treated by the Department of Gynecology of Nanjing Medical University Affiliated Changzhou No.2 People's Hospital from April 2020 to November 2020, and their post-operation follow-ups. INTERVENTIONS: Patients with postoperative follow-ups found no obvious relapse without intervention measures. MEASUREMENTS AND MAIN RESULTS: The transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation was performed successfully, and the anterior and posterior walls of vagina and/or trans-vaginal hysterectomy were repaired as appropriate. Except the total vaginal length (TVL), the P values of numerical analysis for all points before, three months after, and six months after the operation were all <0.05, being statistically significant. CONCLUSION: This method is effective in the treatment of moderate and severe pelvic organ prolapse with few complications, but more cases and longer-term follow-up data are needed to determine the long-term effect of this procedure. For the selection of puncture sites, more anatomical data are needed to get more accurate result. Frontiers Media S.A. 2022-07-29 /pmc/articles/PMC9372293/ /pubmed/35965861 http://dx.doi.org/10.3389/fsurg.2022.931691 Text en © 2022 Qin, Dong, Tang, Zhang, Wang, Bao, Wei, Shi, Chen and Xia. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Qin, Zhenyue Dong, Zhiyong Tang, Huimin Zhang, Shoufeng Wang, Huihui Bao, Mingyue Wei, Weiwei Shi, Ruxia Chen, Jiming Xia, Bairong A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title | A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title_full | A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title_fullStr | A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title_full_unstemmed | A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title_short | A preliminary clinical report of transvaginal natural orifice transluminal endoscopic Sacrospinous Ligament Fixation in the treatment of moderate and severe pelvic organ prolapse |
title_sort | a preliminary clinical report of transvaginal natural orifice transluminal endoscopic sacrospinous ligament fixation in the treatment of moderate and severe pelvic organ prolapse |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372293/ https://www.ncbi.nlm.nih.gov/pubmed/35965861 http://dx.doi.org/10.3389/fsurg.2022.931691 |
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