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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

LAGOS V, Andrea; NEEDHAM T, Douglas; CORRALES P, Jorge  y  LAIZ R, Domingo. Colpopexia al ligamento sacroespinoso con CapioTM; cirugía, resultados y evolución de pacientes. Rev. chil. obstet. ginecol. [online]. 2017, vol.82, n.1, pp.12-18. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262017000100002.

Introduction: Female genital prolapse significantly alter the quality of life of women. The apical prolapse is the second common defect after anterior wall and the colposuspension to sacrospinous ligament is one of the described surgical techniques for its treatment. Objective: To determine the feasibility of apical prolapse correction in patients undergoing sacrospinous colposuspension using the suture capture device CapioTM. Methods: Retrospective analysis of patients undergoing this surgery from June 2015 to June 2016, including an objective assessment focused mainly in the C point of Prolapse Organ Pelvic Quatinfication (POP-Q) and a subjective evaluation of the patient. Results: 15 patients, of which only 11 were able to complete follow-up, were included. The mean age of the patients at the time of surgery was 60.7 ± 6.8 years, and all were classified as prolapse stages III or IV. The evaluation was performed in average 6.75 ± 3.39 months after surgery, with a minimum of 3 and a maximum of 13 months. No patient had several complications during or after surgery and only one recurred. Conclusions: The colposuspension to sacrospinous ligament with CapioTM is a safe and effective alternative for the treatment of apical genital prolapse. However, a longer follow-up study is needed, in addition to comparative studies with other colposuspension techniques.

Palabras clave : Apical prolapse; colposuspension; colpopexy; sacrospinous ligament.

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