Abstract:
AIM:The assessment of the postoperative outcome following laparoscopic sacrocolpopexy using anterior and posterior mesh. MATERIAL AND METHODS:In the study were included one hundred and ten women (mean age 62 years with range from 34 to 78) who had laparoscopic sarcoplexy the period 2001-2005. They were contacted and completed postal questionnaires more than one year after surgery and had a follow up in the uro-gynaecology clinic. RESULTS:The median follow up was 21 months. Eighty-three of them (75.4%) answered the postal questionnaire. Good satisfaction was defined as complete disappearance of all genito-urinary symptoms. Moderate satisfaction was defined as a partial disappearance of symptoms, or de novo less annoying symptoms. Dissatisfaction was defined as no change in symptoms, and /or de novo important symptoms. The overall rate of good satisfaction was 74.7% (62/83), moderate satisfaction 15.6% (13/83), and only 9.6% (8/83) were not satisfied. There was no statistical difference among the six different groups (sacrocolpopexy only, plus TVT, plus TVT and hysterectomy, sacrocolpopexy and previous hysterectomy, sacrocolpopexy and TVT with previous hysterectomy), concerning the pre and post operative clinical signs and post operative symptoms. There was a statistically significant difference (p=0.038) regarding dissatisfaction and prolapse relapse between the group that had a previous total hysterectomy combining sacrocolpopexy with TVT and all other groups. The most frequent post operative symptoms were stress incontinence, dysuria and constipation. No severe complications and mesh erosion were observed, despite the two cases of mesh detachment. CONCLUSIONS:Laparoscopic double synthetic mesh sacrocolpopexy seems to be a safe and effective treatment of genitourinary prolapse, with good overall long term outcomes and benefits of the minimal access approach. The presence of the remaining cervix after subtotal hysterectomy, seems to enhance the results of laparoscopic sacrocolpopexy.. Further randomised studies are needed to confirm our results and to compare this method to open and/or vaginal approach.
journal_name
Hippokratiajournal_title
Hippokratiaauthors
Xiromeritis P,Marotta ML,Royer N,Kalogiannidis I,Degeest P,Devos Fsubject
Has Abstractpub_date
2009-04-01 00:00:00pages
101-5issue
2eissn
1108-4189issn
1790-8019journal_volume
13pub_type
杂志文章相关文献
Hippokratia文献大全abstract::In the past it was widely believed that pain and itching are transmitted by the same nerve pathway with the low intensity stimulation of unmyelinated polymodal C fibers resulting in sensation of pruritus whereas high intensity stimulation causing pain. In recent experiments however, stimulation of single unmyelinated ...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:High level of alpha-fetoprotein is usually associated with testis cancer or hepatocellular carcinoma a primary tumor of the liver. CASE:We report the case of a 72-year-old male patient with chronic renal failure who presented with a high alpha-fetoprotein (AFP) level and a retroperitoneal mass, which was su...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2014-01-01 00:00:00
abstract:AIM:The aim of the study was to determine the impact of the duration of diabetes and the control of glycemia on the auditory function of patients with type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS:This prospective study included 80 patients with T2DM (divided depending on when T2DM was diagnosed, and also acc...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract:AIM:This study investigated the utility of the alveolar-arterial (AaDO2) gradient in predicting the short-term prognosis of submassive pulmonary embolism (PE). MATERIAL AND METHODS:This study retrospectively enrolled 124 patients with acute submassive PE. During the first 24 h of admission, all patients had initial ar...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract:AIM:To evaluate the effects of glutamine on the hepatic ischemia reperfusion injury in rats. METHODS:Thirty rats were divided into three groups as sham (Group 1), control (Group 2), and glutamine(gln) treatment group (Group 3). All rats underwent hepatic ischemia for 45 min followed by 60 min period of reperfusion. Ra...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to determine the efficacy of the exercises administered to stroke patients with the balance trainer (BALANCE-trainer, art.nr. 07001-001(TM)) on balance, level of independence and ambulation parameters. MATERIAL AND METHOD:Fifty patients with hemiplegia were randomized into eit...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2015-04-01 00:00:00
abstract::Cardiovascular manifestations are very common in patients with end stage renal disease and those undergoing dialysis treatment. One of the factors, causing cardiovascular disorders due to mineral metabolism disturbances in uremia is the appearance of cardiovascular calcification. The precise mechanism of the mineral m...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract:AIM:The aim of the current study was to evaluate the level of the basic knowledge of the Turkish gynecologists regarding electrosurgery. MATERIALS AND METHODS:A survey was undertaken to evaluate the level of basic knowledge and attitudes regarding electrosurgery use among gynecology specialists and residents. The ques...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Hepatic cirrhosis caused by hepatic steatosis and hepatitis is irreversible. Early and non-invasive diagnosis of these diffuse hepatopathies calls for possible imaging markers. The purpose of this study was to explore the changes in global hepatic glucose metabolism following hepatic steatosis, hepatitis, or...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:To investigate if pepsin is detected, with an activity assay, in the saliva of patients with a clinical diagnosis of laryngopharyngeal reflux (LPR) and can therefore be used as a diagnostic marker of laryngopharyngeal reflux. STUDY DESIGN:Pilot, prospective study. METHODS:Adult participants with a clinical...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract::Primary cytomegalovirus infection is rare among immunocompetent hosts. We present a case of acute cytomegalovirus infection in a young immunocompetent female with pulmonary and hepatic involvement, admitted to our department due to severe exertional dyspnea. Patient's symptoms were completely atypical. Ganciclovir was...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:The major cause of hereditary renal failure is autosomal dominant polycystic kidney disease (ADPKD). Many factors affect renal progression in these patients. Among these, hypertension and an increase in renal volume are interrelated in terms of their effects on renal progression. We aimed to investigate the ...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2012-04-01 00:00:00
abstract::Schwannomas are generally benign, slow growing tumors, which can originate from any nerve that has a Schwann cell sheath. Digestive tract schwannomas are rare and are usually asymptomatic. We present the case of a 48-year-old woman with a symptomatic submucosal tumour of the gastric antrum. The patient underwent parti...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract::Pyeloureteritis cystica is a rare situation of the renal pelvis and ureters, characterized by cystical formations of the epithelium. The etiology is unknown and there is no specific treatment. It is usually diagnosed accidently during imaging of the upper urinary tract for different reasons. We present a case of pyelo...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND AND AIM:Νon-motor symptoms in Parkinson's disease (PD) are very common and contribute to the severity of patient's disability. We evaluated the frequency of nonmotor symptoms in patients with PD and we explored the influence of disease characteristics on the presence of these symptoms. PATIENTS AND METHODS:...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2013-07-01 00:00:00
abstract::Congenital, X-linked, Nephrogenic Diabetes Insipidus (NDI) is a rare disorder in which the kidney is insensitive to the antidiuretic hormone, vasopressin. The gene responsible for this type of NDI, the V2 vasopressin receptor, has been cloned and mapped to Xq28. We report the case of a boy, 2.5 month old, who presente...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2011-10-01 00:00:00
abstract::Zygomycosis is an invasive mycotic disease caused by fungi of the class Zygomycetes. Infections caused by zygomycetes, are known for their difficulty of diagnosis and treatment. Cunninghamella bertholletiae (Cb), is a saprobic fungus commonly found in the soil of temperate climates. Pulmonary infections caused by Cb a...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:This study was performed to investigate nutritional parameters of hemodialysis patients by using anthropometric and biochemical measurements. METHODS:Data from the last 6 months of 22 adult hemodialysis patients with a mean age of 61 ± 14 years were analyzed retrospectively. Dialysis vintage, normalized pro...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Prostate cancer is one of the most common malignant neoplastic diseases in men. Early control of the disease progression contributes significantly to survival rates and patients' quality of life. Osteoprotegerin is a dimeric glycoprotein, which affects bone metabolism and inhibits osteoclastogenesis. In th...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:To investigate an outbreak of Burkholderia cenocepacia bacteremia. Observational study and chart review in a multidisciplinary adult Intensive Care Unit (ICU) at a tertiary care hospital. METHODS:Patients' demographic variables, comorbid conditions, ICU admission diagnosis, disease severity and outcome were...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND AND AIM:Trisomy 13 (Patau syndrome) was first described by Patau et al in 1960. It is characterized by serious head, facial, and extremity anomalies, congenital heart defects, and mental abnormalities. The incidence rate of Trisomy 13 is 1/10.000 live births. Accompanying symptoms and findings vary in rate a...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the disease characteristics of children with juvenile idiopathic arthritis (JIA) in southeast Turkey. METHODS:The International League of Associations for Rheumatology (ILAR) criteria were used to diagnose JIA. Hospital records of the Pediatric Rheumatology Unit, of ...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract::Multiple myeloma is a haematologic malignancy caused by clonal expansion of malignant plasma cells and associated with bone disease and hypercalcaemia. Myeloma cells are in close proximity to sites of active bone resorption and the interactions between those cells, osteoblasts and osteoclasts, are crucial not only for...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Acute exacerbations of respiratory diseases are a common cause of hospitalization among infants and children. AIM:To assess the epidemiological characteristics of asthma, bronchiolitis and croup among hospitalized children in Thessaloniki, from 1990 to 2003 included. METHODS:Data from the patient registry ...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND: Resistance to thyroid hormone (RTH) is a rare dominantly inherited disorder mainly due to variants in the THRB gene leading to decreased end-organ responsiveness to thyroid hormones. CASE REPORT:Clinical and molecular characteristics of four patients with RTH are described. Four patients with various phen...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Pediatric home care has improved therapeutic options for children with chronic disease. Home intravenous (IV) antibiotic treatment against Pseudomonas aeruginosa (PsA) in cystic fibrosis (CF) patients has offered increased flexibility to these patients and family life. A prospective clinical study was conduc...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2016-10-01 00:00:00
abstract:AIM:The aim of this study is the presentation of the imaging findings in patients with pulmonary embolism, the diagnosis of which was made with the use of helical computed tomography. MATERIAL AND METHODS:The lung CT scans of 14 patients were retrospectively studied. The presence of hypoattenuating thrombus within the...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:We evaluated the effects of tobacco smoking on functional outcomes of septoplasty and complication rates. METHODS:In total, 183 patients (127 males, 56 females) who had septum deviations and underwent septoplasties from January 2012 to December 2013 were evaluated. Subjects were divided into three groups: n...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:The involvement of the immune system in the pathogenesis of certain types of epilepsy has been supported in the past. The use of intravenous immunoglobulin in the treatment of neurologic diseases has shown a progressive trend over the last years. CASE REPORT:We report the case of a 9.5-year-old boy with ref...
journal_title:Hippokratia
pub_type:
doi:
更新日期:2017-01-01 00:00:00
abstract:UNLABELLED:The recent engagement of Brazil in the construction and utilization of the International Space Station has motivated several Brazilian research institutions and universities to establish study centers related to Space Sciences. The Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS) is no exception...
journal_title:Hippokratia
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00