Comparison of dynamic MRI vaginal anatomical changes after vaginal mesh surgery and laparoscopic sacropexy
| العنوان: | Comparison of dynamic MRI vaginal anatomical changes after vaginal mesh surgery and laparoscopic sacropexy |
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| المؤلفون: | E. Poncelet, Bram Pouseele, Chrystèle Rubod, Hiromi Kashihara, Virginie Emmanuelli, Michel Cosson, Jean-Philippe Lucot |
| المصدر: | Gynecological Surgery. 11:249-256 |
| بيانات النشر: | Springer Science and Business Media LLC, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Pelvic organ, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Uterus, Obstetrics and Gynecology, Magnetic resonance imaging, Physical examination, Interventional radiology, Stage ii, Vaginal mesh, Surgery, medicine.anatomical_structure, Dynamic contrast-enhanced MRI, Medicine, sense organs, business |
| الوصف: | The aim of this study is to evaluate anatomical differences in vaginal length and axis between transvaginal mesh surgery (TVM) and laparoscopic sacropexy (LSC) by pelvic magnetic resonance imaging (MRI). Twenty-seven women with stage II or more symptomatic pelvic organ prolapse were involved in this study. Thirteen patients had undergone TVM, and fourteen had LSC. Preoperative and at 1 year postoperative clinical examination and dynamic MRI were performed. The angle between the vaginal axis and horizontal line or pubococcygeal line and the position of the Douglas pouch were evaluated on MRI. In clinical examination, all compartments (Aa, Ba, C, Ap, Bp, D) were significantly improved after both surgeries. Point C and D tended to be higher after LSC than TVM. In MRI assessment, the position of the Douglas was positioned significantly higher after LSC than TVM. There was no difference in postoperative vaginal axis at rest between the two surgical techniques, but the vaginal axis with maximal strain after TVM was more horizontal than LSC (LSC 143.7 ± 6.3° vs. TVM 155.1 ± 12.3°, p = 0.003). As a result, the change of vaginal axis from at rest to maximal strain was also apparently greater after TVM. (LSC 10.3 ± 9.1° vs. TVM 20.7 ± 11.3°, p = 0.014). Both TVM and LSC significantly improved pelvic organ descent evaluated by clinical examination and MRI. LSC suspends the uterus, and Douglas pouch was significantly higher than TVM. The vaginal axis at rest leans horizontally after both surgeries, but the change of vaginal axis from at rest to maximal strain was significantly higher after TVM. |
| تدمد: | 1613-2084 1613-2076 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::8e6c2aa011c97ca40cdfb197880f18a0 https://doi.org/10.1007/s10397-014-0864-2 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........8e6c2aa011c97ca40cdfb197880f18a0 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 16132084 16132076 |
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