Matches in SemOpenAlex for { <https://semopenalex.org/work/W2597181774> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W2597181774 endingPage "1074" @default.
- W2597181774 startingPage "1073" @default.
- W2597181774 abstract "To present a case of uterine prolapse in a pregnant patient at 10 weeks of gestation who was successfully treated by laparoscopic promontohysteropexy. To our knowledge, this is the first case of laparoscopic promontopexy during pregnancy to be reported in the literature.Step-by-step description of the surgery using videos (Canadian Task Force classification 3).Uterine prolapse is a rare condition in young patients and is extremely rare in pregnant women. The reported incidence of uterine prolapse during pregnancy is 1/10,000 to 15,000 deliveries [1]. To date, only a few cases of prolapse during pregnancy have reported in the literature, most of which were treated with pessary insertion. A case involving laparoscopic surgery for uterine prolapse during pregnancy was reported by Matsumoto et al 1999 [2], but the authors did not perform the promontohysteropexy technique.A 27-year-old patient with uterine prolapse at 10 weeks of gestation was referred to our clinic for severe pelvic pain. Conservative treatment with pessary insertion was attempted but failed. Consequently, the patient was scheduled for laparoscopic promontohysteropexy. The surgery was made difficult by the increased size and softness of the uterus. To create an adequate surgical field, the sigmoid colon and right adnexa were suspended at the abdominal wall. The peritoneum above the promontorium was incised, and the longitudinal ligament was dissected. The paravesical spaces were opened, and the vesicovaginal space was dissected. A polypropylene mesh in the shape of an inverted T was introduced. The small arm was sutured to the anterior vaginal wall, and the posterior arms were passed through the posterior leaves of the broad ligament and fixed to the cervix at the level of the uterosacral ligaments. Both posterior arms were fixed at the level of the promontory using the Protack device (Medtronic, Minneapolis, MN). The mesh was completely covered with peritoneum. The patient was discharged 3 days after surgery, with no pain and with normal pelvic floor status. The pregnancy proceeded uneventfully, and she delivered a 3500-g healthy baby by scheduled cesarean section at 39 weeks of gestation. During surgery, the position of the mesh around the uterus was assessed. The mesh was completely covered with peritoneum, and there were no adhesions due to mesh insertion. At 6 months after delivery, pelvic floor status was reassessed and found to be normal. Written informed consent for reporting this case was obtained from the patient before the procedure. The procedure was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The Institutional Review Board and Ethical Committee of Victor Babeş University of Medicine and Pharmacy ruled that approval was not required for this study.Laparoscopic promontohysteropxy can be performed during pregnancy if conservative treatment, such as pessary insertion, fails to restore the normal pelvic floor status." @default.
- W2597181774 created "2017-03-23" @default.
- W2597181774 creator A5002156571 @default.
- W2597181774 creator A5015216674 @default.
- W2597181774 creator A5017122791 @default.
- W2597181774 creator A5041288161 @default.
- W2597181774 creator A5042751566 @default.
- W2597181774 date "2017-11-01" @default.
- W2597181774 modified "2023-10-18" @default.
- W2597181774 title "Laparoscopic Promontohysteropexy During Pregnancy" @default.
- W2597181774 cites W1994194638 @default.
- W2597181774 doi "https://doi.org/10.1016/j.jmig.2017.03.007" @default.
- W2597181774 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28323221" @default.
- W2597181774 hasPublicationYear "2017" @default.
- W2597181774 type Work @default.
- W2597181774 sameAs 2597181774 @default.
- W2597181774 citedByCount "5" @default.
- W2597181774 countsByYear W25971817742018 @default.
- W2597181774 countsByYear W25971817742019 @default.
- W2597181774 countsByYear W25971817742022 @default.
- W2597181774 countsByYear W25971817742023 @default.
- W2597181774 crossrefType "journal-article" @default.
- W2597181774 hasAuthorship W2597181774A5002156571 @default.
- W2597181774 hasAuthorship W2597181774A5015216674 @default.
- W2597181774 hasAuthorship W2597181774A5017122791 @default.
- W2597181774 hasAuthorship W2597181774A5041288161 @default.
- W2597181774 hasAuthorship W2597181774A5042751566 @default.
- W2597181774 hasConcept C126322002 @default.
- W2597181774 hasConcept C131872663 @default.
- W2597181774 hasConcept C141071460 @default.
- W2597181774 hasConcept C2776111594 @default.
- W2597181774 hasConcept C2776443887 @default.
- W2597181774 hasConcept C2777744392 @default.
- W2597181774 hasConcept C2778842504 @default.
- W2597181774 hasConcept C2778888092 @default.
- W2597181774 hasConcept C2779066055 @default.
- W2597181774 hasConcept C2779157695 @default.
- W2597181774 hasConcept C2779234561 @default.
- W2597181774 hasConcept C2779494336 @default.
- W2597181774 hasConcept C2780047204 @default.
- W2597181774 hasConcept C2780218171 @default.
- W2597181774 hasConcept C2909131395 @default.
- W2597181774 hasConcept C46973012 @default.
- W2597181774 hasConcept C54355233 @default.
- W2597181774 hasConcept C71924100 @default.
- W2597181774 hasConcept C86803240 @default.
- W2597181774 hasConceptScore W2597181774C126322002 @default.
- W2597181774 hasConceptScore W2597181774C131872663 @default.
- W2597181774 hasConceptScore W2597181774C141071460 @default.
- W2597181774 hasConceptScore W2597181774C2776111594 @default.
- W2597181774 hasConceptScore W2597181774C2776443887 @default.
- W2597181774 hasConceptScore W2597181774C2777744392 @default.
- W2597181774 hasConceptScore W2597181774C2778842504 @default.
- W2597181774 hasConceptScore W2597181774C2778888092 @default.
- W2597181774 hasConceptScore W2597181774C2779066055 @default.
- W2597181774 hasConceptScore W2597181774C2779157695 @default.
- W2597181774 hasConceptScore W2597181774C2779234561 @default.
- W2597181774 hasConceptScore W2597181774C2779494336 @default.
- W2597181774 hasConceptScore W2597181774C2780047204 @default.
- W2597181774 hasConceptScore W2597181774C2780218171 @default.
- W2597181774 hasConceptScore W2597181774C2909131395 @default.
- W2597181774 hasConceptScore W2597181774C46973012 @default.
- W2597181774 hasConceptScore W2597181774C54355233 @default.
- W2597181774 hasConceptScore W2597181774C71924100 @default.
- W2597181774 hasConceptScore W2597181774C86803240 @default.
- W2597181774 hasIssue "7" @default.
- W2597181774 hasLocation W25971817741 @default.
- W2597181774 hasLocation W25971817742 @default.
- W2597181774 hasOpenAccess W2597181774 @default.
- W2597181774 hasPrimaryLocation W25971817741 @default.
- W2597181774 hasRelatedWork W1481869373 @default.
- W2597181774 hasRelatedWork W1993943393 @default.
- W2597181774 hasRelatedWork W2411802308 @default.
- W2597181774 hasRelatedWork W2414181675 @default.
- W2597181774 hasRelatedWork W2441735852 @default.
- W2597181774 hasRelatedWork W2464726615 @default.
- W2597181774 hasRelatedWork W2597181774 @default.
- W2597181774 hasRelatedWork W2778166282 @default.
- W2597181774 hasRelatedWork W4281694272 @default.
- W2597181774 hasRelatedWork W985205842 @default.
- W2597181774 hasVolume "24" @default.
- W2597181774 isParatext "false" @default.
- W2597181774 isRetracted "false" @default.
- W2597181774 magId "2597181774" @default.
- W2597181774 workType "article" @default.