提肌上全盆腔脏器去除术后阴道再造术
Vaginal reconstruction following supra-leva-tor total pelvic exenteration作者机构：Gynecologic Oncology AssociatesHoag Cancer Center351 Hospital RoadSuite 507Newport BeachCA 92663United States
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2006年第2卷第12期
页 面：41-41页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：盆腔脏器去除术 阴道再造术 提肌 宫颈鳞状上皮癌 阴道穹隆 妇科恶性肿瘤 美国医疗 修复系统 手术时
摘 要：Background:There are several available techniques for neovaginal reconstruction following exenterative gynecologic surgery. However,all methods are associated with prolonged operative time and increased morbidity. The Apogee and PerigeeTM vaginal vault and prolapse repair systems are innovative and minimally invasive procedures that may prove to be effective in controlling the levator defect and reconstructing the vagina in patients undergoing supra-levator pelvic exenteration. Case:We present a patient who underwent supra-levator total pelvic exenteration for treatment of recurrent squamous cell carcinoma of the cervix. Vaginal reconstruction was performed with the Apogee and Perigee systems utilizing the porcine mesh (InteXen) from American Medical Systems. The patient did well without any postoperative vaginal or small bowel complications. Conclusion:The Apogee and Perigee systems comprise an innovative technique for vaginal vault reconstruction and prolapse repair. These systems may prove useful in reconstruction of the pelvis following ultra-radical pelvic procedures for recurrent gynecologic malignancies.
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