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Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

LECANNELIER A, Jorge et al. SUSPENSIÓN TRANSVAGINAL ALTA A LIGAMENTOS UTEROSACROS PARA EL TRATAMIENTO DE DEFECTOS APICALES (STALUS): DESCRIPCIÓN DE LA TÉCNICA Y RESULTADOS ANATÓMICOS A MEDIANO PLAZO. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.3, pp.145-150. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262008000300002.

Objective: To describe a novel surgery technique in the national ground, of vaginal approach for the treat-ment of apical prolapse: the transvaginal high suspensión to the uterosacral ligaments (STALUS). Method: It is a longitudinal descriptive study that included 57 patients with apical support defects, in which this technique was performed between December 2002 and October 2005. Descriptive statistics and t test were per-formed for the anatomical outcome (POP-Q). For the potential prognosis factors, ANOVA, lineal regression and logistic, were used. Results: The average surgery time was 151 minutes. The anatomical result (POP-Q), before and after surgery, was favourable and significant in the nine points evaluated. 49 of 54 patients were followed for 15 months in average. In the apical compartment (C point) we got an 89% of cure and there were no failure. In the anterior wall, instead, 22% of our patients recurred. About complications, there was an ureterovaginal fistula. Conclusions: If all precautions are taking, there is a secure and reproducible technique, with good cure rate. To secure the uréter it is always an obligation. The recurrence in the anterior wall, even been asymptomatic, is too high, that make us think in new techniques in order to manage this compartment.

Keywords : Genital prolapse; apical prolapse; apical defect; vaginal approach; uterosacral ligaments.

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