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Longest recovery period and return to normal activities [83] May have a higher risk of bleeding compared with laparoscopic surgery [83] Vaginal or Laparoscopic technique preferred for people who are obese [97] Vaginal hysterectomy Shortest operation time [83] Short recovery period and discharge from hospital [83]
Reconstructive pelvic prolapse surgery may be done without resorting to complete hysterectomy by hysteropexy, [2] the resuspension of the prolapsed uterus. Traditional gynecologic practice favors removal of the uterus or ovaries (or both) at the time of prolapse surgery, and one estimate states that of the 600,000 hysterectomies performed in ...
Another way of categorizing surgery for prolapse of pelvic organs is suspensive or resective (involving removal of sections of the bowel wall). Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [10] Resection rectopexy additionally involves removal of a section of the sigmoid colon ...
However, the wounds created by the surgery are usually associated with considerable post-operative pain which necessitates a prolonged recovery period. This can put a stress on a general practitioner ’s resources, may alienate the patient and delays the patient's return to a full, normal lifestyle and the workplace.
Surgical techniques and medical knowledge developed slowly over time until the invention of anesthesia and antisepsis allowed for the age of modern surgery in the mid-nineteenth century. Since then, many techniques and instruments were developed specifically for vaginal surgery like the standardization of sutures in 1937 which greatly improved ...
Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [ 2 ]
Prevalence of pelvic organ prolapse was found to be consistently higher when physical exam was used (for uterine prolapse, this was 14.2% [14] in one study and 3.8% in another [3]) compared to a symptom-based determination in which the prevalence of any type of prolapse, including uterine prolapse, was 2.9% to 8% in the U.S. [3] Using Women's ...
[3] [4] Complications may arise from concomitant surgery and inappropriate surgical techniques, while they can also be prevented with uterus preservation. [5] [6] Transvaginal mesh was once used widely for nearly 25% of prolapse interventions until the FDA ban, yet approximately 1 out of 15 patients required a mesh removal in the past decade ...