Laparoscopic Round Ligament Psoas Minor Tendon-Hitching: Newly Developed Uterine Prolapse Operation
10.2185/jjrm.64.815
- VernacularTitle:子宮脱に対する腹腔鏡下円靭帯小腰筋腱固定術の考案
- Author:
Koji SHIMABUKURO
;
Tamami ODAI
;
Takanori YOSHIDA
;
Takafumi TSUKADA
;
Yukiko NUSHI
;
Yasuko NISHIDA
;
Kaori TAKAGI
;
Reiko NAKAMURA
;
Sanae HATTORI
;
Naoyuki MIYASAKA
;
Maiko ICHIKAWA
;
Seiichi ENDO
;
Masae SAKAMOTO
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2016;64(5):815-818
- CountryJapan
- Language:Japanese
-
Abstract:
We have developed a new surgical procedure for uterine prolapse of round ligament suspension to the psoas minor tendon by the use of a laparoscope. Here, we describe the new technique and report the outcome of surgery in three cases. Operative procedure: The fundus of the uterus is lifted back up to its natural position by fixing the round ligament of the uterus to the psoas minor tendon after incising the peritoneum covering psoas. It is important to use the tendon as a stronger reattachment site in addition to the psoas major muscle. The round ligament is tacked to the tendon by a 2-0 nonabsorbable suture on bilateral sides. The second suture may be added if the uterus is not appropriately lifted up by the first suture. The retroperioneum is closed by a continuous 3-0 absorbable suture after fixation. Cases: Two patients with severe uterine prolapse and one patient with a mild condition went through the operation safely and have experienced no recurrence for 10 to 24 months. One severely ill patient complained about post -operative right inguinal pain early and another with the severe condition complained that something felt wrong with the right thigh. We propose the operation of laparoscopic round ligament psoas minor tendon-hitching as a safe and effective surgical treatment for uterine prolapse.
