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[PMID]:29390294
[Au] Autor:Fedus T; Ras R; Ksiazek M; Filipowska J; Kaznowska E; Skret A; Skret-Magierlo J; Barnas E
[Ad] Endereço:Clinical Department of Urology and Urology Oncology.
[Ti] Título:Primary vaginal squamous cell carcinoma with bladder involvement in uterine prolapsed patient: Case report.
[So] Source:Medicine (Baltimore);96(50):e8993, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Primary vaginal squamous cell carcinoma (SCC) is a rare disease. Primary SCC in prolapsed vagina is extremely rare. In the presented case additional bladder involvement was found. PATIENTS CONCERNS: Primary vaginal SCC may be misinterpreted as decubitus in prolapsed vagina and it may delay proper diagnosis and treatment. DIAGNOSES: Diagnosis was confirmed by the vaginal ulceration biopsy and cystoscopic biopsy of the involved bladder. INTERVENTIONS: In the case presented percutaneous nephrostomy was the only possible treatment of hydronephrosis. OUTCOMES: In advanced primary SCC (Figo IVA) with nodal involvement palliative treatment is only option. LESSONS: Primary SCC mimicking decubitus which appeared in prolapsed vagina, may be accompanied by bladder involvement.
[Mh] Termos MeSH primário: Carcinoma de Células Escamosas/patologia
Neoplasias da Bexiga Urinária/patologia
Prolapso Uterino/patologia
Neoplasias Vaginais/patologia
[Mh] Termos MeSH secundário: Idoso
Biópsia
Diagnóstico Diferencial
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008993


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[PMID]:29298001
[Au] Autor:Ishchenko AI; Aleksandrov LS; Ishchenko AA; Hudoley EP
[Ti] Título:Method of Surgical Management of Genital Prolapse with Cervical Elongation.
[So] Source:Vestn Ross Akad Med Nauk;71(6):413-9, 2016.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:Objectives: According to different authors, the percentage of genital prolapse among gynaecological diseases that require surgical correction reaches 28−38,9%. Pelvic muscle wasting is a special kind of pelvic prolapse, often leading to cervical elongation and hypertrophy. Contemporary methods of treatment for this condition have the high rate of relapse­ 8,9−22%, thus urging to improve the existing techniques. Purpose: This research was to estimate the effectiveness of novel modification of Manchester operation in comparison with classic Manchester operation in the management of pelvic prolapse with cervical elongation. Methods: We enrolled 83 patients with pelvic prolapse and cervical elongation and divided them into two groups. In GroupI (n=47) we used the novel surgical method, supplementing original Manchester procedure with cervical stump fixation and other improvements. In GroupII we used original Manchester procedure. We compared laboratory measures as well as surgery duration, blood loss, incidence of complications, and duration of post-operational hospital stay. Patients were followed-up for 2years to estimate long-term effectiveness of surgical intervention. Statistical analysis was performed in SPSS 17.0. Results: Surgery duration in GroupII was significantly longer (47,8±26,2 vs 57,5±35,1 minutes, p<0.05). There were no significant differences in lab tests, post-operational hospital stay (5,2±0,9 vs 7,3±1,2) and incidence of post-operational complications (3 vs 4 cases). Over the 2 years of follow-up we registered 1 case of relapse in Group I and 3 cases of relapse in Group II, thus estimating the effectiveness of surgery as 97,9 vs 91,7%, a non-significant difference. We noticed that all relapsed women had signs of systemic dysplasia of connective tissue. Conclusion: Suggested modification of Manchester operation improves duration of surgical intervention itself, while providing a comparable level of effectiveness.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos em Ginecologia
Complicações Pós-Operatórias
Prolapso Uterino
[Mh] Termos MeSH secundário: Idoso
Feminino
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos
Procedimentos Cirúrgicos em Ginecologia/métodos
Seres Humanos
Efeitos Adversos de Longa Duração/diagnóstico
Efeitos Adversos de Longa Duração/etiologia
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/etiologia
Recidiva
Resultado do Tratamento
Prolapso Uterino/diagnóstico
Prolapso Uterino/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.15690/vramn727


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[PMID]:28748254
[Au] Autor:Hanis SM; Khazaei S; Ayubi E; Mansori K
[Ad] Endereço:Dezful University of Medical Sciences, Dezful, Iran.
[Ti] Título:Comment on: Predictors of unsuccessful pessary fitting in women with prolapse: a cross-sectional study in general practice.
[So] Source:Int Urogynecol J;28(9):1439, 2017 09.
[Is] ISSN:1433-3023
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Prolapso de Órgão Pélvico
Pessários
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Medicina Geral
Seres Humanos
Prolapso Uterino
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171205
[Lr] Data última revisão:
171205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1007/s00192-017-3359-7


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[PMID]:28748253
[Au] Autor:Dekker JH; Burger H
[Ad] Endereço:Department of General Practice, University Medical Center Groningen, University of Groningen, P.O. Box 196, 9700 AD, Groningen, The Netherlands. j.h.dekker@umcg.nl.
[Ti] Título:Authors' reply to the comment by Hanis et al. on "Predictors of unsuccessful pessary fitting in women with prolapse: a cross-sectional study in general practice," by Panman et al.
[So] Source:Int Urogynecol J;28(9):1441, 2017 09.
[Is] ISSN:1433-3023
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Prolapso de Órgão Pélvico
Pessários
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Medicina Geral
Seres Humanos
Prolapso Uterino
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171205
[Lr] Data última revisão:
171205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1007/s00192-017-3421-5


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[PMID]:29016495
[Au] Autor:Davidson ERW; Barber MD
[Ad] Endereço:Cleveland Clinic, Cleveland, Ohio; and Duke University, Durham, North Carolina.
[Ti] Título:A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse.
[So] Source:Obstet Gynecol;130(5):1039-1041, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gartner duct cysts are embryologic remnants of the mesonephric ducts that may present as a vaginal mass or cyst. CASE: A patient was referred for surgical management of prolapse whose bulging anterior vagina was actually a Gartner duct cyst that required excision as a result of symptoms. Preoperative magnetic resonance imaging helped confirm the diagnosis. CONCLUSION: A Gartner duct cyst may present as a vaginal cyst that, if large, may mimic pelvic organ prolapse. The diagnosis should be considered when a patient's individual prolapse compartments are inconsistent or when physical examination is suggestive of another process.
[Mh] Termos MeSH primário: Cistos/diagnóstico
Prolapso Uterino/diagnóstico
Vagina/patologia
Neoplasias Vaginais/diagnóstico
Ductos Mesonéfricos/patologia
[Mh] Termos MeSH secundário: Cistos/patologia
Diagnóstico Diferencial
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Meia-Idade
Vagina/diagnóstico por imagem
Neoplasias Vaginais/patologia
Ductos Mesonéfricos/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002315


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[PMID]:28759116
[Au] Autor:Glazener CM; Cooper K; Mashayekhi A
[Ad] Endereço:Health Services Research Unit, University of Aberdeen, 3rd Floor, Health Sciences Building, Foresterhill, Aberdeen, Scotland, UK, AB25 2ZD.
[Ti] Título:Anterior vaginal repair for urinary incontinence in women.
[So] Source:Cochrane Database Syst Rev;7:CD001755, 2017 07 31.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anterior vaginal repair (anterior colporrhaphy) is an operation traditionally used for moderate or severe stress urinary incontinence (SUI) in women. About a third of adult women experience urinary incontinence. SUI imposes significant health and economic burden to the society and the women affected. OBJECTIVES: To determine the effects of anterior vaginal repair (anterior colporrhaphy) on urinary incontinence in comparison with other management options. SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Trials Register (searched 1 September 2009) and the reference lists of relevant articles. SELECTION CRITERIA: Randomised or quasi-randomised trials that included anterior vaginal repair for the treatment of urinary incontinence. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed trial quality. Three trial investigators were contacted for additional information. MAIN RESULTS: Ten trials were identified which included 385 women having an anterior vaginal repair and 627 who received comparison interventions.A single small trial provided insufficient evidence to assess anterior vaginal repair in comparison with physical therapy. The performance of anterior repair in comparison with bladder neck needle suspension appeared similar (risk ratio (RR) for failure after one year 1.16, 95% confidence interval (CI) 0.86 to 1.56), but clinically important differences could not be confidently ruled out. No trials compared anterior repair with suburethral sling operations or laparoscopic colposuspensions, or compared alternative vaginal operations.Anterior vaginal repair was less effective than open abdominal retropubic suspension based on patient-reported cure rates in eight trials both in the medium term (failure rate within one to five years after anterior repair 97/259 (38%) versus 57/327 (17%); RR 2.29, 95% confidence Interval (CI) 1.70 to 3.08) and in the long term (after five years, (49/128 (38%) versus 31/145 (21%); RR 2.02, 95% CI 1.36 to 3.01). There was evidence from three of these trials that this was reflected in a need for more repeat operations for incontinence (25/107 (23%) versus 4/164 (2%); RR 8.87, 95% CI 3.28 to 23.94). These findings held, irrespective of the co-existence of prolapse (pelvic relaxation). Although fewer women had a prolapse after anterior repair (RR 0.24, 95% CI 0.12 to 0.47), later prolapse operation appeared to be equally common after vaginal (3%) or abdominal (4%) operation.In respect of the type of open abdominal retropubic suspension, most data related to comparisons of anterior vaginal repair with Burch colposuspension. The few data describing comparison of anterior repair with the Marshall-Marchetti-Krantz procedure were consistent with those for Burch colposuspension. AUTHORS' CONCLUSIONS: There were not enough data to allow comparison of anterior vaginal repair with physical therapy or needle suspension for primary urinary stress incontinence in women. Open abdominal retropubic suspension appeared to be better than anterior vaginal repair judged on subjective cure rates in eight trials, even in women who had prolapse in addition to stress incontinence (six trials). The need for repeat incontinence surgery was also less after the abdominal operation. However, there was not enough information about postoperative complications and morbidity.A Brief Economic Commentary (BEC) identified one study suggesting that vaginoplasty may be more cost-effective compared with tension-free vaginal tape (TVT-O).
[Mh] Termos MeSH primário: Incontinência Urinária/cirurgia
Vagina/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos
Seres Humanos
Complicações Pós-Operatórias/etiologia
Ensaios Clínicos Controlados Aleatórios como Assunto
Resultado do Tratamento
Bexiga Urinária/cirurgia
Incontinência Urinária/etiologia
Incontinência Urinária por Estresse/etiologia
Incontinência Urinária por Estresse/cirurgia
Prolapso Uterino/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD001755.pub2


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[PMID]:28727377
[Au] Autor:Kale A; Biler A; Terzi H; Usta T; Kale E
[Ad] Endereço:Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.
[Ti] Título:Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery.
[So] Source:Int Braz J Urol;43(5):903-909, 2017 Sep-Oct.
[Is] ISSN:1677-6119
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To share our first experience with laparoscopic pectopexy, a new technique for apical prolapse surgery, and to evaluate the feasibility of this technique. MATERIALS AND METHODS: Seven patients with apical prolapse underwent surgery with laparoscopic pectopexy. The lateral parts of the iliopectineal ligament were used for a bilateral mesh fixation of the descended structures. The medical records of the patients were reviewed, and the short-term clinical outcomes were analyzed. RESULTS: The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. CONCLUSION: Although laparoscopic sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical prolapse surgery.
[Mh] Termos MeSH primário: Laparoscopia/métodos
Telas Cirúrgicas
Prolapso Uterino/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Viabilidade
Feminino
Seres Humanos
Ligamentos/cirurgia
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171117
[Lr] Data última revisão:
171117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1590/S1677-5538.IBJU.2017.0070


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[PMID]:28716634
[Au] Autor:Ross WT; Meister MR; Shepherd JP; Olsen MA; Lowder JL
[Ad] Endereço:Obstetrics and Gynecology, Washington University in St Louis, St Louis, MO; Obstetrics and Gynecology, Barnes-Jewish Hospital, St Louis, MO. Electronic address: rossw@wudosis.wustl.edu.
[Ti] Título:Utilization of apical vaginal support procedures at time of inpatient hysterectomy performed for benign conditions: a national estimate.
[So] Source:Am J Obstet Gynecol;217(4):436.e1-436.e8, 2017 Oct.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Apical vaginal support is considered the keystone of pelvic organ support. Level I evidence supports reestablishment of apical support at time of hysterectomy, regardless of whether the hysterectomy is performed for prolapse. National rates of apical support procedure performance at time of inpatient hysterectomy have not been well described. OBJECTIVE: We sought to estimate trends and factors associated with use of apical support procedures at time of inpatient hysterectomy for benign indications in a large national database. STUDY DESIGN: The National (Nationwide) Inpatient Sample was used to identify hysterectomies performed from 2004 through 2013 for benign indications. International Classification of Diseases, Ninth Revision, Clinical Modification codes were used to select both procedures and diagnoses. The primary outcome was performance of an apical support procedure at time of hysterectomy. Descriptive and multivariable analyses were performed. RESULTS: There were 3,509,230 inpatient hysterectomies performed for benign disease from 2004 through 2013. In both nonprolapse and prolapse groups, there was a significant decrease in total number of annual hysterectomies performed over the study period (P < .0001). There were 2,790,652 (79.5%) hysterectomies performed without a diagnosis of prolapse, and an apical support procedure was performed in only 85,879 (3.1%). There was a significant decrease in the proportion of hysterectomies with concurrent apical support procedure (high of 4.0% in 2004 to 2.5% in 2013, P < .0001). In the multivariable logistic regression model, increasing age, hospital type (urban teaching), hospital bed size (large and medium), and hysterectomy type (vaginal and laparoscopically assisted vaginal) were associated with performance of an apical support procedure. During the study period, 718,578 (20.5%) inpatient hysterectomies were performed for prolapse diagnoses and 266,743 (37.1%) included an apical support procedure. There was a significant increase in the proportion of hysterectomies with concurrent apical support procedure (low of 31.3% in 2005 to 49.3% in 2013, P < .0001). In the multivariable logistic regression model, increasing age, hospital type (urban teaching), hospital bed size (medium and large), and hysterectomy type (total laparoscopic and laparoscopic supracervical) were associated with performance of an apical support procedure. CONCLUSION: This national database study demonstrates that apical support procedures are not routinely performed at time of inpatient hysterectomy regardless of presence of prolapse diagnosis. Educational efforts are needed to increase awareness of the importance of reestablishing apical vaginal support at time of hysterectomy regardless of indication.
[Mh] Termos MeSH primário: Histerectomia/métodos
Histerectomia/estatística & dados numéricos
Prolapso Uterino/cirurgia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Feminino
Inquéritos Epidemiológicos
Número de Leitos em Hospital
Hospitais de Ensino
Hospitais Urbanos
Seres Humanos
Laparoscopia
Meia-Idade
Análise Multivariada
Padrões de Prática Médica/estatística & dados numéricos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE


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[PMID]:28647957
[Au] Autor:Duan L; Lu YX; Shen WJ; Liu X; Liu JX; Zhang YH; Ge J; Zhao Y; Niu K; Wang WY
[Ad] Endereço:Department of Obstetrics and Gynecology, First Affiliated Hospital, General Hospital of People's Liberation Army, Beijing 100048, China.
[Ti] Título:[Long-term effectiveness of transvaginal high uterosacral ligament suspension].
[So] Source:Zhonghua Fu Chan Ke Za Zhi;52(6):363-368, 2017 Jun 25.
[Is] ISSN:0529-567X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To assess the long-term effectiveness of the transvaginal high uterosacral ligament suspension (HUS) in women suffering from advanced pelvic organ prolapse (POP). A retrospective review of records identified 118 women who underwent transvaginal HUS with or without additional concomitant anterior and (or) posterior repairs from June 2003 to August 2009 in the First Affiliated Hospital, General Hospital of People s Liberation Army. Of 118 women, 104 women completed the follow-up during study period; these 104 women were analysed. Follow-up visits were performed 2, 6 and 12 months after surgery and then annually. Anatomic results of POP was established by pelvic examination using pelvic organ prolapse quantitation system (POP-Q) staging. Funtional results were obtained by patient global impression of improvement (PGI-I), pelvic floor distress inventory-short form 20 (PFDI-20) and pelvic floor impact questionnaire short form (PFIQ-7). Surgical success required the fulfillment of all 3 criteria: (1) prolapse leading edge of 0 cm or less and apex of 1/2 total vaginal length or less; (2) the absence of pelvic organ prolapse symptoms as reported on the PFDI-20 question No. 3 ( "Do you usually have a bulge or something falling out that you can see or feel in your vaginal area?" ); and (3) no prolapse reoperations or pessary use during the study period. The mean follow-up time was (9.1±1.5) years. The overall surgery success rate was 91.3% (95/104) according to above all 3 criteria. Prolapse recurrence rates were isolated anterior 6.7% (7/104), isolated apical 0, isolated posterior 2.9% (3/104) and multiple compartments 1.0% (1/104). Five women (4.8%, 5/104) developed bothersome vaginal bulge symptoms. None of recurrent women underwent retreatment, including either surgery or use of a pessary at last follow-up. The subjective satisfaction rate was 90.4% (94/104). PFDI-20 and PFIQ-7 scores showed a statistically significant improvement from preoperative 72 and 65 points to postoperative 17 and 9 points respectively (all 0.01). There was a 2.9% (3/104) rate of intraoperative ureteral kinking and 3.8% (4/104) rate of postoperative morbidity. The transvaginal HUS for vault prolapse offers good long-term anatomical results with excellent vault suspension. With additional concomitant anterior and (or) posterior repairs, it will be a reconstructive surgery for the majority of advanced POP. It is minimal traumatic and appropriate for different type of POP, especially for the eldly patients. It is worthy of being popularized for clinical application.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos em Ginecologia/métodos
Ligamentos/cirurgia
Prolapso de Órgão Pélvico/cirurgia
Vagina/cirurgia
[Mh] Termos MeSH secundário: China/epidemiologia
Feminino
Seres Humanos
Meia-Idade
Diafragma da Pelve/cirurgia
Prolapso de Órgão Pélvico/patologia
Peritônio
Pessários
Complicações Pós-Operatórias/epidemiologia
Período Pós-Operatório
Estudos Retrospectivos
Sacro/cirurgia
Slings Suburetrais
Inquéritos e Questionários
Resultado do Tratamento
Prolapso Uterino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-567X.2017.06.002


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[PMID]:28643369
[Au] Autor:Botros C; Letko J; Gafni-Kane A; Botros S; Lozo S; Sand P
[Ad] Endereço:Division of Urogynecology, NorthShore University Health System, Skokie, IL, USA.
[Ti] Título:Postoperative pain and perceptions of recuperation after suture- and mesh-based apical sacrospinous ligament suspension.
[So] Source:Int J Gynaecol Obstet;139(1):95-99, 2017 Oct.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare the incidence of postoperative pain after suture- or mesh-based sacrospinous ligament suspension (SSLS). METHODS: In a retrospective study, data were reviewed from patients who underwent suture- or mesh-based SSLS at a center in Skokie, IL, USA, between 2006 and 2011. The primary outcome was self-reported postoperative pain scores (range 0-10) on the day of surgery (day 0) and 1 day later (day 1). RESULTS: Overall, 90 women were included in the study: 66 underwent mesh-based SSLS and 24 underwent suture-based SSLS. Day-0 mean pain score was 4.65 ± 1.57 in the mesh group and 5.24 ± 1.44 in the suture group (adjusted P=0.159). Day-1 mean pain score was 4.06 ± 1.78 in the mesh group and 4.31 ± 1.21 in the suture group (adjusted P=0.596). CONCLUSION: Postoperative pain did not differ between patients undergoing suture-based and those undergoing mesh-based SSLS. These observations should be considered in preoperative counseling of patients.
[Mh] Termos MeSH primário: Ligamentos/cirurgia
Dor Pós-Operatória/epidemiologia
Telas Cirúrgicas
Técnicas de Sutura
Prolapso Uterino/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Procedimentos Cirúrgicos em Ginecologia
Seres Humanos
Illinois/epidemiologia
Medição da Dor
Dor Pós-Operatória/etiologia
Estudos Retrospectivos
Região Sacrococcígea
Prolapso Uterino/reabilitação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12246



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