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Is hysterectomy or the use of graft necessary for the reconstructive surgery for uterine prolapse?

Authors
 Myung Jae Jeon  ;  Hyun Joo Jung  ;  Hyun Jung Choi  ;  Sei Kwang Kim  ;  Sang Wook Bai 
Citation
 INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.19(3) : 351-355, 2008 
Journal Title
INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN
 0937-3462 
Issue Date
2008
MeSH
Decision Making* ; Female ; Follow-Up Studies ; Humans ; Hysterectomy/methods* ; Middle Aged ; Prosthesis Implantation/methods* ; Reconstructive Surgical Procedures/methods* ; Recurrence ; Retrospective Studies ; Surgical Mesh* ; Time Factors ; Treatment Outcome ; Uterine Prolapse/surgery*
Keywords
Decision Making* ; Female ; Follow-Up Studies ; Humans ; Hysterectomy/methods* ; Middle Aged ; Prosthesis Implantation/methods* ; Reconstructive Surgical Procedures/methods* ; Recurrence ; Retrospective Studies ; Surgical Mesh* ; Time Factors ; Treatment Outcome ; Uterine Prolapse/surgery*
Abstract
The aim of this study was to evaluate whether hysterectomy or the use of graft is necessary for the reconstructive surgery for uterine prolapse. One hundred sixty-eight patients were categorized into the 3 groups: group I, abdominosacral colpopexy with mesh and hysterectomy (n=63); group II, abdominosacral uteropexy with mesh (n=35); group III, abdominal uterosacrocardinal colpopexy and hysterectomy (n=70). Perioperative and postoperative complications, functional outcomes, and anatomical recurrences were assessed. The median follow-up was 36 months in all surgery groups. In the complication rates and functional outcomes, no difference was noted, except for operation time (longer in group I, p=0.001) and hemoglobin loss (greater in group II, p=0.002). There was a significant difference in the cumulative anatomical cure rates (p<0.0001). The risk of recurrence in group III was 6.2 times higher than in group I. In conclusion, the use of graft, rather than hysterectomy, might be necessary for the reconstructive surgery for uterine prolapse.
Full Text
http://link.springer.com/article/10.1007/s00192-007-0442-5
DOI
10.1007/s00192-007-0442-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107356
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