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Year 2013, Volume: 20 Issue: 1, 30 - 32, 30.03.2013

Abstract

Carter-Thomason operation in the treatment of uterin prolapsus in a young patient: case reportUterine prolapsus is a common problem which absolute treatment is surgery. Although vaginal hysterectomyis the most used method in the treatment of the prolapsus, uterine protective surgery should be thoughtprimarily. Carter-Thomason method is a uterine protective surgery which round ligaments are suspansiedby laparoscopically. Especially it can be used in the uterine prolapsus treatment in young women who hasdesire for fertility. Laparoscopic uterine suspension technique which named Modify Carter Thomasonmethod were carried out under general anesthesia after the reduction to a thirty year old female patient whoapplied to our clinic with acute, non-reductable uterine prolapsus complaint. We aimed to discuss this casein the light of recent literature

References

  • Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501–6.
  • Lin LL, Ho MH, Haessler AL, Betson LH, Alinsod RM, Liu CY et al. A review of laparoscopic uterine suspension procedures for uterine preservation. Curr Opin Obstet Gynecol 2005:17:541–46.
  • O’Brien PM, Ibralim J Failure of laparoscopic uterine suspension to provide a lasting cure for uterovaginal prolapse. Br J Obstet Gynaecol 1994;101:707–8.
  • Krause HG, Goh JT, SLoane K, Higgs P, Carey MP. Laparoscopic sacral suture hysteropexy for uterine prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 378-81.
  • Barranger E, Fritel X, Pigne A. Abdominal sacrohysteropexy in young women with uterovaginal prolapse: Long-term follow-up. Am J Obst Gynecol 2003; 189:1245-50.
  • Cutner A, Kearney R, Vashisht A. Laparoscopic uterine
  • sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation BJOG 2007:114;1159–62.
  • Lowenstein L, Dooley Y, Kenton K, Mueller E, Brubaker L. Neural pain after uterosacral ligament vaginal suspension. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:109–10.
  • Maher CF, Cary MP, Slack MC, Murray CJ, Milligan M, Schluter P. Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse? Int Urogynecol J Pelvic Floor Dysfunct 2001;12:381–4.
  • Price N, Slack A, Jackson SR. Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG. 2010; 117(1):62-8.
  • Wu MP. Laparoscopic uterine suspension for the treatment of uterovaginal prolapse. Int J Gynaecol Obstet 1997;59:259–60.

GENÇ BİR HASTADA TOTAL UTERİN PROLAPSUS TEDAVİSİNDE MODİFİYE CARTER-THOMASON OPERASYONU: OLGU SUNUMU

Year 2013, Volume: 20 Issue: 1, 30 - 32, 30.03.2013

Abstract

Uterin prolapsus kadın popülasyonunda oldukça yaygın bir problem olup kesin tedavisi cerrahidir. Vajinal histerektomi prolapsus için en sık kullanılan yöntem olmakla beraber genç hastalarda uterin koruyucu cerrahi ön planda düşülmelidir. Carter-Thomason operasyonu round ligamentlerin laparoskopik olarak suspanse edildiği uterin koruyucu cerrahi bir yöntemdir. Özellikle fertilite arzusu olan genç kadınlarda uterin prolapsus tedavisinde kullanılabilmektedir. Akut, redükte edilemeyen uterin prolapsusu nedeniyle başvuran 30 yaşındaki bayan hastaya anestezi altında redüksiyon sonrası Modifiye Carter-Thomason metodu kullanılarak laparoskopik uterin suspansiyon işlemi yapıldı.
Anahtar kelimeler: Uterin prolapsus, Carter-Thomason yöntemi, uterus koruyucu cerrahi

References

  • Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501–6.
  • Lin LL, Ho MH, Haessler AL, Betson LH, Alinsod RM, Liu CY et al. A review of laparoscopic uterine suspension procedures for uterine preservation. Curr Opin Obstet Gynecol 2005:17:541–46.
  • O’Brien PM, Ibralim J Failure of laparoscopic uterine suspension to provide a lasting cure for uterovaginal prolapse. Br J Obstet Gynaecol 1994;101:707–8.
  • Krause HG, Goh JT, SLoane K, Higgs P, Carey MP. Laparoscopic sacral suture hysteropexy for uterine prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 378-81.
  • Barranger E, Fritel X, Pigne A. Abdominal sacrohysteropexy in young women with uterovaginal prolapse: Long-term follow-up. Am J Obst Gynecol 2003; 189:1245-50.
  • Cutner A, Kearney R, Vashisht A. Laparoscopic uterine
  • sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation BJOG 2007:114;1159–62.
  • Lowenstein L, Dooley Y, Kenton K, Mueller E, Brubaker L. Neural pain after uterosacral ligament vaginal suspension. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:109–10.
  • Maher CF, Cary MP, Slack MC, Murray CJ, Milligan M, Schluter P. Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse? Int Urogynecol J Pelvic Floor Dysfunct 2001;12:381–4.
  • Price N, Slack A, Jackson SR. Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG. 2010; 117(1):62-8.
  • Wu MP. Laparoscopic uterine suspension for the treatment of uterovaginal prolapse. Int J Gynaecol Obstet 1997;59:259–60.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Esra Tola

Mehmet Özkaya This is me

Publication Date March 30, 2013
Submission Date November 30, 2010
Published in Issue Year 2013 Volume: 20 Issue: 1

Cite

Vancouver Tola E, Özkaya M. GENÇ BİR HASTADA TOTAL UTERİN PROLAPSUS TEDAVİSİNDE MODİFİYE CARTER-THOMASON OPERASYONU: OLGU SUNUMU. Med J SDU. 2013;20(1):30-2.

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