骨盤臓器脱に対する腹腔鏡下仙骨腟固定術（LSC）とTVM （Tension-free Vaginal Mesh）の手術成績の検討

石川 哲也; 三村 貴志; 瀬尾 晃平; 清水 華子; 飯塚 千祥; 宮本 真豪; 森岡 幹; 関沢 明彦

doi:10.5180/jsgoe.31.357

Original article

A comparative study of laparoscopic sacrocolpopexy (LSC) using the double meshes and anterior and posterior tension-free vaginal mesh (AP-TVM) for pelvic organ prolapse

Tetsuya Ishikawa, Takashi Mimura, Kouhei Seo, Hanako Shimizu, Chiaki Iitsuka, Singo Miyamoto, Miki Morioka, Akihiko Sekizawa

Author information

Tetsuya Ishikawa
Department of Obstetrics and Gynecology, Showa University School of Medicine
Takashi Mimura
Department of Obstetrics and Gynecology, Showa University School of Medicine
Kouhei Seo
Department of Obstetrics and Gynecology, Showa University School of Medicine
Hanako Shimizu
Department of Obstetrics and Gynecology, Showa University School of Medicine
Chiaki Iitsuka
Department of Obstetrics and Gynecology, Showa University School of Medicine
Singo Miyamoto
Department of Obstetrics and Gynecology, Showa University School of Medicine
Miki Morioka
Department of Obstetrics and Gynecology, Showa University School of Medicine
Akihiko Sekizawa
Department of Obstetrics and Gynecology, Showa University School of Medicine

Keywords: Laparoscopic sacrocolpopexy (LSC), Tension-free vaginal mesh (TVM), Pelvic organ prolapses (POP)

JOURNAL FREE ACCESS

2016 Volume 31 Issue 2 Pages 357-361

DOI https://doi.org/10.5180/jsgoe.31.357

Details

Abstract

Objective: This study was undertaken to compare LSC using the double meshes and AP-TVM for efficacy and safety.
Method: We evaluated operative time, blood loss, postoperative CRP data, and complications, and compared them between LSC and AP-TVM.
Results: Compared to the AP-TVM group, the LSC group was characterized by small amount of blood loss (135.6±190.8ml vs. 54.8±59.2ml, p<0.05), and a longer operating time (154.6±38.8 minutes vs. 188.6±23.9 minutes, p<0.05), respectively. Surgical stress and complications rates were similar between LSC and AP-TVM (ns). No serious complications were noted.
Conclusion: Although LSC requires longer operating time. POP repair by LSC using the double meshes seems to be safe and has valid outcomes.

Corresponding author

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