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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 10

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Ginecol Obstet Mex 2023; 91 (10)

Modified technique of anterior colporraphy due to absence of prevesical fascia: case report

Machado BJA, Pineda MJÁ, Gómez CAR

Language: Spanish
References: 16
Page: 762-767
PDF size: 247.26 Kb.


ABSTRACT

Background: Pelvic organ prolapse is common in postmenopausal women. The definitive treatment when the anterior compartment is involved is surgical (anterior colporrhaphy). Here we describe the clinical results obtained using a modified anterior colporrhaphy technique in a patient with absence of prevesical fascia, POP-Q stage II, with involvement of the anterior compartment.
Clinical case: 64-year-old female patient with a history of a previous colporrhaphy at the age of 56, pelvic organ prolapse with involvement of the anterior compartment. Gynaecological examination revealed anterior compartment involvement, specifically level II according to the new POP-Q classification. Based on the surgical history, anterior colporrhaphy with polyglactin 910 suture and vaginal colpopexy with polypropylene sutures using a suture capture device for native tissue repair was chosen. Surgical outcome was satisfactory.
Conclusion: In the context of colporrhaphy, it is important to take into account the different surgical strategies, increasingly less invasive, with site-specific corrections that allow repair of the anatomical defect, disappearance of symptoms, reducing the risk and probability of recurrence.


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