[Anterolateral hysteropexy via abdominal approach. Results and indications. Apropos of a series of 92 patients].
Of the possible surgical techniques for the treatment of genito-urinary prolapses, abdominal suspension is reserved for young patients in whom retention of sexual function is desirable. Fixation to the sacral promontory is the reference method but has some contraindications. Anterolateral suspension of the uterine isthmus to the anterior superior iliac spines by a strip of non-absorbable mesh, as described by Kapandji, is then a good alternative. We report our results with this technique over an 8-year period in 92 patients. Mean follow-up was 5 years. There was no intraoperative mortality nor major complications. Anatomical results were satisfactory in 87% of cases at 5 years, with however 4 reoperations for total recurrent prolapse, of which one was posterior. Functional results showed two cases of deep dyspareunia and 12% post-operative stress urinary incontinence, of gradual onset. In conclusion, anterolateral hysteropexy associated with removal of the pouch of Douglas is a reliable procedure with no particular danger. It can be a good alternative to fixation to the sacram promontory when the latter is contraindicated or dangerous.
Rimailho
J
J
Service de Chirurgie Générale et Gynécologique, Hôpital Rangueil, Toulouse.
Talbot
C
C
Bernard
J D
JD
Hoff
J
J
Bécue
J
J
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D011391:Prolapse; D012189:Retrospective Studies; D013526:Surgical Mesh; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*
L'hystéropexie antéro-latérale par voie abdominale. Résultats et indications. A propos d'une série de quatre-vingt-douze patients.