[Surgical treatment of genital prolapse with a new lateral prosthetic hysteropexia technique combining vaginal and laparoscopic methods].
We describe a new surgical treatment of pelvic organ prolapse. The anterior and medium compartments are treated by a transversal hysteropexy by means of an anterior prosthesis fixed by vaginal route and by laparoscopy. The principle is based on the operative technique described by Kapandji but the prosthesis is fixed to the fascia of the external oblique muscle in a subperitoneal path. The posterior compartment is treated by a vaginal route exclusively. A posterior prosthesis is placed in the rectovaginal space and fixed to the elevator muscles. Further studies are necessary to evaluate this new operative technique.
Husaunndee
M
M
Service de Gynécologie-Obstétrique, Centre hospitalier de Dax, BP 323, 40107 Dax Cedex.
Rousseau
E
E
Deleflie
M
M
Geoffrion
H
H
Dallay
D
D
Descamps
P
P
D003127:Colposcopy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D012307:Risk Factors; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*