[Treatment of recurrent genital prolapse by the abdominal approach. Apropos of a series of 92 cases surgically treated with prosthetic material].
Over a period of 16 years, 92 patients presenting recurrent genital prolapse, following one or several surgical interventions, were operated on via the abdominal route with the insertion of prosthetic material. The current technique used consists of promonto-fixation of the cervix using 2 Mersylene* bands, combined in the majority of cases with a retropubic colopopexy. The anatomical failure rate was 9.2% after a mean follow up of 6.7 years. Morbidity associated with this surgical technique was low: no septic or occlusive complications were noted. This technique provides a satisfactory and long lasting solution, both anatomically and functionally, to the delicate surgical problem of recurrent genital prolapse.
Caubel
P
P
Service de Chirurgie Gynécologique, Hôpital de la Salpêtrière, Paris.
Lefranc
J P
JP
Foulques
H
H
Puia
M
M
Blondon
J
J
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010795:Phthalic Acids; D011092:Polyethylene Glycols; D011093:Polyethylene Terephthalates; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D013536:Suture Techniques; D014549:Urinary Incontinence / Q000209:etiology; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*
D010795:Phthalic Acids; D011093:Polyethylene Terephthalates; C025539:Lavsan; D011092:Polyethylene Glycols
Traitement par voie abdominale des prolapsus génitaux récidivés. A propos d'une série de 92 cas opérés avec mise en place d'un matériel prothétique.