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Natural Orifice Endosonographic Colposuspension With Rectopexy for Combined Pelvic Organ Prolapse: A Feasibility Study.
Chandra, Abhijit; Rajan, Pritheesh; Gupta, Vivek; Ahmad, Arshad; Parihar, Anit; Yadav, Gourav; Singh, Uma; Rajashekhara, Mahesh; Patankar, Sanjiv K; Patel, Ravi.
Afiliación
  • Chandra A; Department of Surgical Gastroenterology, King George's Medical University, Uttar Pradesh, India.
  • Rajan P; Department of Surgical Gastroenterology, King George's Medical University, Uttar Pradesh, India.
  • Gupta V; Department of Surgical Gastroenterology, King George's Medical University, Uttar Pradesh, India.
  • Ahmad A; Department of Surgery, King George's Medical University, Uttar Pradesh, India.
  • Parihar A; Department of Radiodiagnosis, King George's Medical University, Uttar Pradesh, India.
  • Yadav G; Department of Radiodiagnosis, King George's Medical University, Uttar Pradesh, India.
  • Singh U; Department of Obstetrics and Gynaecology, King George's Medical University, Uttar Pradesh, India.
  • Rajashekhara M; Department of Surgical Gastroenterology, King George's Medical University, Uttar Pradesh, India.
  • Patankar SK; BKL Walawalkar Rural Medical College and Hospital, Dervan, Chiplun, Maharashtra, India.
  • Patel R; Department of Surgical Gastroenterology, King George's Medical University, Uttar Pradesh, India.
Dis Colon Rectum ; 65(3): e184-e190, 2022 03 01.
Article en En | MEDLINE | ID: mdl-34856590
BACKGROUND: We describe a natural orifice technique for simultaneous endoluminal lateral suspension of apical vaginal wall and rectal prolapse fixation with ultrasound and fluoroscopic assistance. IMPACT OF INNOVATION: The technique is minimally invasive, can be performed under regional anaesthesia, and avoids laparotomy or use of a mesh in addition to preserving the uterus. TECHNOLOGY MATERIALS AND METHODS: This technique involves suprapubic transvaginal ventral suture colposuspension, fixation of the anterior rectal wall to the undersurface of the anterior abdominal wall and tack fixation of the posterior rectal wall to the underlying sacral promontory through a submucosal tunnel performed endoscopically with fluoroscopic and ultrasound assistance. PRELIMINARY RESULTS: Seven patients with a mean age of 63 years were followed between 3 to 11 months. CONCLUSIONS: This is a novel minimally invasive transluminal procedure that repairs concomitant rectal and vaginal prolapse in the same sitting. FUTURE DIRECTIONS: Improvement in the instrument design and incorporation of endoluminal robotic systems will enhance the technical ease. The study needs validation in larger series of patients with longer follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prolapso Rectal / Prolapso Uterino / Cirugía Endoscópica por Orificios Naturales / Anestesia de Conducción Límite: Female / Humans / Middle aged Idioma: En Revista: Dis Colon Rectum Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prolapso Rectal / Prolapso Uterino / Cirugía Endoscópica por Orificios Naturales / Anestesia de Conducción Límite: Female / Humans / Middle aged Idioma: En Revista: Dis Colon Rectum Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos