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Type: Artigo de periódico
Title: [transobturator Correction Of Cystocele].
Author: Palma, P
Rane, A
Riccetto, C
Herrmann, V
Dambros, M
Tarazona, A
Abstract: We present our initial experience with the Perigee system for anterior vaginal wall prolapses repair. 15 patients with anterior vaginal wall prolapse (mean age: 62 years old) underwent implanted with Perigee system which is composed by a mesh for correcting central defect and four self-attached horns for correcting lateral defect. The implanted procedure consist of four steps: 1) lateral vaginal wall dissection as far as isquiopubic branch; 2) performance of two upper marks at genitofemoral fold and two lower marks at 2 cm laterally and 3 cm lower; 3) insertion of the upper needles parallel to the isquiopubic branch and connection with the mesh's arms plus insertion of the lower needles vertically and connection with mesh's legs; 4) to adjust the mesh free tension. The system POP-Q was used as an objective measure of correction rate. Preoperatively, the point Aa was 0.09. After 6 weeks and three months postoperatively was -3.00 and -2.73 respectively. Preoperatively, the point Ba was 1.73. After 6 weeks and three months postoperatively was -2.82 and -2.82 respectively. No major complications were presented. No vascular damage or significant bleeding was observed. The transobturator correction of cystocele is an attractive alternative. The initial good outcome may be expected to be long lasting.
Subject: Adult
Gynecologic Surgical Procedures
Middle Aged
Surgical Mesh
Suture Techniques
Treatment Outcome
Urinary Bladder Diseases
Urologic Surgical Procedures
Citation: Actas Urologicas Españolas. v. 29, n. 1, p. 89-92, 2005-Jan.
Rights: fechado
Date Issue: 2005
Appears in Collections:Unicamp - Artigos e Outros Documentos

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