Short-term Outcomes of Laparoscopic Repair of Paravaginal Defects
Açar sözlər
Mücərrəd
Təsvir
This prospective interventional study. designed to evaluate the efficacy and outcomes of laparoscopic approach for repair of paravaginal defects associated with anterior vaginal wall prolapse .fifty participants with cystocele of lateral type offered laparoscopic paravaginal repair. the investigator used a 10mm laparoscope, with video camera, was introduced through the umbilical trocar. Another 5 mm in suprapubic area and two 10 mm trocars in right and left lateral abdominal sides were introduced. The larger trocar was needed to accommodate the passage of needles into the abdomen. Spacing of trocars sufficiently from each other was needed to facilitate laparoscopic suturing. Transperitoneal approach to retropubic space was used. Two to four polypropylene sutures were applied on each side. Sutures were tied with intracorporeal . The study evaluated the following outcomes Operative time, intra-operative blood loss, hospital stay , post-operative urinary symptoms, post-operative pain, fever, haematuria, post-operative vaginal wall prolapse .
Tarixlər
| Son Doğrulandı: | 04/30/2019 |
| İlk təqdim: | 05/06/2019 |
| Təxmini qeydiyyat təqdim edildi: | 05/21/2019 |
| İlk Göndərmə: | 05/22/2019 |
| Son Yeniləmə Göndərildi: | 05/21/2019 |
| Son Yeniləmə Göndərildi: | 05/22/2019 |
| Həqiqi Təhsilin Başlama Tarixi: | 07/31/2016 |
| Təxmini İlkin Tamamlanma Tarixi: | 02/19/2018 |
| Təxmini İşin Tamamlanma Tarixi: | 05/09/2018 |
Vəziyyət və ya xəstəlik
Müdaxilə / müalicə
Procedure: laparoscopic paravaginal repair
Faza
Qol Qrupları
| Qol | Müdaxilə / müalicə |
|---|---|
| Other: laparoscopic paravaginal repair patient enrolled in this arm were offered laparoscopic paravaginal repair by Using a 10mm laparoscope, video camera, was introduced through the umbilical trocar. Another 5 mm in suprapubic area and two 10 mm trocars in right and left lateral abdominal sides were introduced. The larger trocar was needed to accommodate the passage of needles into the abdomen. Spacing of trocars sufficiently from each other was needed to facilitate laparoscopic suturing. Transperitoneal approach to retropubic space was used. Two to four polypropylene sutures were applied on each side. Sutures were tied with intracorporeal technique All cases received diclofenac potassium 100 mg and meperidine hydrochloride 50 mg intramuscular with anesthesia recovery and 12 hours later second dose of diclofenac potassium was given. Also 40-60 mg Enoxaparin was given 6-12 hours postoperatively as subcutaneous injection.
Foley's catheter was removed 6 hours postoperative | Procedure: laparoscopic paravaginal repair Using a 10mm laparoscope, with video camera, was introduced through the umbilical trocar. Another 5 mm in suprapubic area and two 10 mm trocars in right and left lateral abdominal sides were introduced. The larger trocar was needed to accommodate the passage of needles into the abdomen. Spacing of trocars sufficiently from each other was needed to facilitate laparoscopic suturing. Transperitoneal approach to retropubic space was used. Two to four polypropylene sutures were applied on each side. Sutures were tied with intracorporeal technique |
Uyğunluq Kriteriyaları
| Təhsil üçün uyğun yaşlar | 20 Years Üçün 20 Years |
| Təhsilə Uyğun Cinslər | Female |
| Sağlam Könüllüləri qəbul edir | Bəli |
| Kriteriyalar | Inclusion Criteria: - female patient with cystocele of lateral type ( paravaginal defect ) Exclusion Criteria: - previous retropubic surgery, - uterine prolapse, - stress urinary incontinence or - morbid obesity |
Nəticə
İlkin nəticə tədbirləri
1. operative time [insertion of the primary tracer ( umbilical trocar )-during the procedure - ends with removing camera telescope]
2. intraoperative blood loss [start with dissection or retropubic space - during the procedure -ends with removing the camera telescope at the end of operation]
3. post-operative pain: Faces Pain Scale [start after patient recovery from anaesthesia - ends after 12 hours]
4. post-operative hematuria [starts observation of urine 1hour after end of operation - ends 24 hours after the starting observation]
5. hospital stay [during hospitalization]
6. fever [starts after shifting the patient from the recovery room to inpatient ward - end 24 hours after shifting the patient]
İkincili Nəticə Tədbirləri
1. post-operative vaginal wall prolapse [starts one week following the procedure - three months after the procedure - six months after the procedure -ends one year after the procedure]
2. post-operative abnormal urinary symptoms [starts one week following the procedure - three months after the procedure - six months after the procedure -ends one year after the procedure]
