scholarly journals Anatomical and Symptomatic Outcomes in Patients With Le Fort Colpocleisis

2021 ◽  
Author(s):  
Mehmet Ferdi KINCI ◽  
Burak SEZGİN ◽  
Mehmet Onur ARSLANER ◽  
Deniz AKIN GÖKBEL ◽  
İsmail GÖKBEL ◽  
...  
Keyword(s):  
Elderly Women ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Long Term Results ◽  
Le Fort ◽  
Case Evaluation ◽  
Post Operative Period ◽  
Pain Symptoms ◽  
Anatomical Success

Abstract Background: We aimed to evaluate the short term anatomical and symptomatic results of elderly patients on whom Le Fort colpocleisis operation was performed due to pelvic organ prolapse (POP) in our clinic. Methods: Medical records of fifty-nine sexually inactive and ≥65 aged women with stage 2 or higher vaginal or uterine prolapse who underwent Le Fort colpocleisis operation were prospectively analysed. Pre-operative and 12 months post-operative data were recorded. Turkish validated Global Pelvic Floor Bother Questionnaire (GPFBQ) were also evaluated at pre-operative and 12 months post-operative period in all patients. Anatomical success was determined as no prolapse of any POP-Q point at or below 1 cm above the hymen. Results: A total of 59 patients were conducted in this study. The average age of the patients was 71.67±7.01 (years). The mean BMI was 27.1±9.52 kg/m2. POP-Q point C as well as, Gh and TVL measurements were significantly higher after surgery than those at preoperative period (p<0.01, p<0.01, p<0.01, respectively). There was no recurrence in any case. Evaluation of complications at the pre-operative and post-operative 12th month revealed significant differences for SUI, urinary frequency, nocturia, and pelvic pain symptoms during post-operative period (p:0.007, p<0.001, p:0.01, p<0.001; respectively). Conclusions: Le Fort colpocleisis is a simple and effective procedure that has been found to provide successful anatomical and symptomatic outcomes in sexually inactive and elderly women for POP. However long-term results of this procedure needs further investigation.

scholarly journals A study of short and long term complications of prolene hernia system

2017 ◽  
Vol 4 (4) ◽  
pp. 1167
Author(s):  
Narayan Hebsur ◽  
Ravi Shankar J. C.
Keyword(s):  
Inguinal Hernia ◽  
Statistical Tests ◽  
Long Term Results ◽  
Chronic Groin Pain ◽  
Medical Sciences ◽  
Post Operative Period ◽  
Prolene Hernia System ◽  
Period 2 ◽  
Pain Symptoms

Background: Prolene hernia system was introduced in 1999, and was thought to be a revolutionary type of mesh in preventing recurrence. But studies regarding long term results and complications were sparse. Our study is one such type which sheds light into the complications of prolene hernia system and its significance in Indian scenario.Methods: 30 patients with inguinal hernia in Karnataka institute of medical sciences, Hubli, were included in the study. All of them were operated with prolene hernia system. Patients were assessed in the post-operative period and during follow-up for any complications. Appropriate statistical tests were applied.Results: 1 (3.3%) patient each had seroma and superficial surgical site infection in the post-operative period. 2 (6.7%) patients had chronic groin pain symptoms and none of them had recurrence till date.Conclusions: Based on the observations, we conclude that PHS is an effective method for open inguinal hernia repair with minimal complications. It has comparable results with lichenstein repair and other types of repairs available.

Five-year outcomes of mechano-chemical ablation of primary great saphenous vein incompetence

2019 ◽  
Vol 35 (4) ◽  
pp. 255-261
Author(s):  
Naomi DE Thierens ◽  
Suzanne Holewijn ◽  
Wynand HPM Vissers ◽  
Debbie AB Werson ◽  
Jean Paul PM de Vries ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Clinical Severity ◽  
Long Term Results ◽  
Venous Clinical Severity Score ◽  
Ceap Classification ◽  
Chemical Ablation ◽  
Anatomical Success

Objective The aim of the study is to report long-term results after mechano-chemical ablation for the treatment of great saphenous vein incompetence. Methods Mechano-chemical ablation was performed using the ClariVein device with polidocanol as the sclerosant. Clinical-Etiologic-Anatomic-Pathophysiologic (CEAP) classification, Venous-Clinical-Severity-Score (VCSS), anatomical-success, RAND-SF36 and the Aberdeen-Varicose-Vein-Questionnaire (AVVQ) were obtained by clinical examination, questionnaires and duplex ultrasonography through five years’ follow-up (Clinicaltrials.gov, NCT01459263). Results Ninety-four patients (113 great saphenous veins) were included in the study. Five-year follow-up data were available for 75 limbs (66.4%). Freedom from anatomical failure was 78.7% (N = 45) with 64.6% (N = 42) having an improvement in the VCSS ≥1. A total of five reinterventions were performed through five years with a median time to reintervention of 38 months. The VCSS at five years was 2 (IQR 1; 4) and was still significantly improved compared to baseline (p < 0.001). A deterioration of the VCSS was observed in 21.5%. Conclusion Through five-year follow-up, there are a significant number of anatomical and clinical failures in this series, mainly driven by partial recanalizations.

scholarly journals Arthroscopic Lift, Drill, Fill and Fix (LDFF) for Talar OCDs Stands the Test of Time: Mean 5 year Follow-Up Results in 25 Patients

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0026
Author(s):  
Kaj Lambers ◽  
Nienke Altink ◽  
Jari Dahmen ◽  
Sjoerd Stufkens ◽  
Gino Kerkhoffs
Keyword(s):  
Rating Scales ◽  
Bone Ingrowth ◽  
Distal Tibia ◽  
Clinical Results ◽  
Long Term Results ◽  
Arthroscopic Fixation ◽  
Pain Symptoms ◽  
Pain At Rest

Category: Ankle, Arthroscopy Introduction/Purpose: The purpose of this study was to describe the long-term clinical and radiological outcome of a new arthroscopic fixation technique for primary osteochondral talar defects: Lift, Drill, Fill and Fix (LDFF). Methods: Twenty-five patients underwent an arthroscopic LDFF surgery for osteochondral talar defects. Two of these patients underwent surgery on both ankles. During the LDFF technique, the OCD was identified after which an osteochondral flap was created and lifted (lift-phase). The bone flake of the OCD as well as the osteosclerotic area of the bed was drilled (drill phase). Cancellous bone was harvested from the distal tibia and transported into the defect until there was sufficient substantial filling (fill phase). Finally, the osteochondral flap was fixed with an absorbable biocompression screw (fix phase). The mean follow-up was 63 months (SD 9.2). Pre- and postoperative clinical assessment included the Foot and Ankle Outcome Score (FAOS) and the numeric rating scales (NRS) of pain at rest and during walking. Remodeling and bone ingrowth after LDFF were analyzed on computed tomography scans during follow-up at one year after the surgery. Results: All patients were available for final follow-up. At final follow-up, LDFF led to a significant improvement of the NRS of pain during rest and the NRS of pain during walking in all patients. The FAOS significantly improved on all 5 subscales: pain, symptoms, activities of daily living, sport and recreation and quality of life. The NRS of pain at rest significantly improved from 2.3 to 1.0 (p = 0.01), and pain with walking significantly improved from 5.7 to 1.6 (p < 0.001). In total 24 out of 25 patients, and 26 out of 27 ankles, showed remodeling and bone ingrowth on CT scans 1 year after the arthroscopic fixation procedure. No complications occurred. Conclusion: Arthroscopic LDFF of an osteochondral talar defect shows good long-term results at 5 year follow-up after surgery. Although the radiological results at 1-year follow-up and the long-term clinical results are encouraging, more patients and long- term radiological follow-up is necessary in order to identify prognostic factors on outcomes.

scholarly journals High Grade Uterine and Rectal Prolapse

2016 ◽  
Vol 1 (2) ◽  
pp. 183-185
Author(s):  
Călin Molnar ◽  
Octavian-Sabin Tătaru ◽  
Vlad-Olimpiu Butiurcă ◽  
Varlam-Claudiu Molnar
Keyword(s):  
Rectal Prolapse ◽  
Elderly Women ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Case Presentation ◽  
Transvaginal Approach ◽  
Perineal Rectosigmoidectomy ◽  
Dilatation And Curettage ◽  
Manual Anastomosis ◽  
Manchester Procedure

Abstract Introduction: Pelvic floor hernias are encountered especially in elderly women. A combined genital, bladder, and rectal prolapse poses treatment challenges in aged women. Case presentation: We present the case of an 88 year-old patient, complaining of an intravaginal mass protruding for the last 3 months, rectal prolapse that occurred two weeks before admittance, accompanied by stress incontinence of urine and chronic constipation. Examination revealed a uterine prolapse with cystocele and a fourth grade rectal prolapse. We decided on a perianal and transvaginal approach, performing preliminary dilatation and curettage, cervix amputation, anterior colporrhaphy and colpoperineorrhaphy (Manchester procedure) with perineal rectosigmoidectomy using the LigaSure™ device, and coloanal manual anastomosis. Postoperatively the patient had no symptoms of stress urinary incontinence, bowel movement resumed in the fourth postoperative day, and the patient was discharged after seven days. One month after surgery the patient has both urinary and fecal continence, with no relapse in pelvic organ prolapse. Conclusions: Encountering genital, bladder, and rectal prolapse in the same patient is quite rare, and its treatment can be difficult in aged women. Therefore, a less invasive surgical procedure, using the transvaginal approach, and a genital sparing surgery could be the key in cases like this.

Long-term results of submandibular duct transposition for drooling

1991 ◽  
Vol 105 (2) ◽  
pp. 101-103 ◽  
Author(s):  
M. J. Burton ◽  
S. E. J. Leighton ◽  
W. S. Lund
Keyword(s):  
Submandibular Gland ◽  
Neurological Dysfunction ◽  
Long Term Results ◽  
Submandibular Duct ◽  
Post Operative Period ◽  
Retention Cysts ◽  
Rate Of Improvement

AbstractThis study examines the long-term results and morbidity of submandibular duct transposition in drooling children. Twenty-two patients, aged 3 to 18 years, with neurological dysfunction and excessive drooling underwent submandibular duct transposition between 1984 and 1987. In January 1990, 20 patients were reviewed. Their degree of drooling pre-operatively, immediately post-operatively and currently was assessed. The rate of improvement and the occurrence of complications were noted. Drooling was ‘much better’ in the early post-operative period in 17 of the 20 patients, and this improvement was invariably noted within three weeks. In the three other patients drooling was ‘better’. Deterioration occurred in only three patients over the entire follow-up period. Complications all occurred in the first 18 months following surgery; they consisted of salivary retention cysts in four and transient submandibular gland swelling in a fifth patient.

Prospective long-term results, complications and risk factors in pelvic organ prolapse treatment with vaginal mesh

2017 ◽  
Vol 211 ◽  
pp. 62-67 ◽  
Author(s):  
Inés M. Laso-García ◽  
Miguel A. Rodríguez-Cabello ◽  
Miguel A. Jiménez-Cidre ◽  
Andrea Orosa-Andrada ◽  
David Carracedo-Calvo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Long Term Results

scholarly journals Obliterative le fort’s colpocleisis for acute kidney injury caused by pelvic organ prolapse in elderly woman

2019 ◽  
Vol 8 (10) ◽  
pp. 4083
Author(s):  
Rohini E. ◽  
Hiremath P. B. ◽  
Urmi Sanyal ◽  
Indu N. R. ◽  
Shilpa Ghosh ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Elderly Women ◽  
Uterine Prolapse ◽  
Obstructive Uropathy ◽  
Kidney Injury ◽  
Conservative Surgery ◽  
Pelvic Organ ◽  
Fourth Degree ◽  
Renal Functions ◽  
The Family

Pelvic organ prolapse (POP) is the descent of pelvic organs through the vagina, which sometimes causes hydronephrosis. Here authors report a case of an eighty five year old woman with a fourth degree uterine prolapse with obstructive uropathy. She was treated with a conservative surgery Le Fort’s colpocleisis. Following which the patient’s renal functions and symptoms improved. Hence authors conclude that colpocleisis can be considered as the option for elderly women who have completed the family with no desire to preserve the sexual function especially in women with co morbities where pelvic reconstructive surgeries pose a challenge.

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