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Clinical study of ischia spinous fascia fixation-a new pelvic reconstructive surgery

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单位: [1]Beijing Union Med Coll Hosp, Dept Obstet & Gynecol, Beijing 100730, Peoples R China [2]China Japan Friendship Hosp, Dept Obstet & Gynecol, Beijing 100029, Peoples R China
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关键词: Pelvic organ prolapse Vaginal fornix prolapse Ischial spinous fascia fixation

摘要:
This study aims to introduce a new pelvic reconstructive procedure and assess its safety and efficacy. Anatomic dissection was performed on ten Chinese female cadavers. The fascia 1 cm horizontally lateral to the ischial spine was firm and strong with no major vessels or nerves in the area. Thirty-two patients with stage III uterine prolapse underwent ischial spinous fascia fixation procedure. Objective and subjective results were observed in follow-up evaluations. No severe complications were observed. The objective success rate was 94% at 1-year follow-up while two patients (6.3%) showed recurrence. There were significant improvements in Aa, Ba, Ap, Bp, and C (p < 0.001) by pelvic organ prolapse quantification. Two patients suffered from lower back pain and right thigh pain, respectively, while three complained a sensation of a foreign body in the vagina. As a treatment of vaginal fornix prolapse, ischial spinous fascia fixation is found to be safe and efficacious.

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 2 区 妇产科学 3 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 妇产科学 3 区 泌尿学与肾脏学
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出版当年[2009]版:
Q1 OBSTETRICS & GYNECOLOGY Q2 UROLOGY & NEPHROLOGY
最新[2023]版:
Q3 OBSTETRICS & GYNECOLOGY Q3 UROLOGY & NEPHROLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2009版] 出版当年五年平均[2005-2009] 出版前一年[2008版] 出版后一年[2010版]

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第一作者单位: [1]Beijing Union Med Coll Hosp, Dept Obstet & Gynecol, Beijing 100730, Peoples R China
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