[Surgery of genital prolapse using the abdominal approach. Experience of the surgery and gynecology department at the Salpêtrière Hospital].
Excellent results lasting for at least 10 years were obtained in a series of 316 cases of genital prolapse operated upon through an abdominal approach in the Broca Center, Paris. Major sling-type operations, the source of multiple particularly urinary complications, have now been replaced by surgery usually involving a combination of the following: fixation to the promontory through the anterior ligament, an inter-vesicogenital Tergal triangle, a posterior perineorrhaphy, and sometimes an inter-rectovaginal triangle and/or a rectopexy. Rare septic complications resulted from opening of a viscus with subsequent spondylodiscitis requiring removal of the prosthesis. Acute intestinal obstruction is now rarely observed as a result of performing a subtotal hysterectomy, which enables effective peritonization to be conducted. The use of prosthetic material appears to provide durable anatomical results of good quality.
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications; D011391:Prolapse; D019736:Prostheses and Implants; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*
Chirurgie des prolapsus génitaux par voie abdominale. Expérience de la clinique chirurgicale et gynécologique de la Salpêtrière.