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Revista Venezolana de Cirugía
versão impressa ISSN 0378-6420versão On-line ISSN 2665-0401
Resumo
PINANGO LUNA, Silvia et al. PELVIC LIGAMENT RECONSTRUCTION TECHNIQUE ACCORDING TO INTEGRAL THEORY. RevVenezCir [online]. 2023, vol.76, n.1, pp.80-84. Epub 09-Maio-2024. ISSN 0378-6420. https://doi.org/10.48104/rvc.2023.76.1.16.
Pelvic floor pathology is a multifactorial entity with a set of gynecological, urinary, fecal and pelviperineal sensitivity symptoms. The Integral Theory of Continence proposes a holistic treatment with the reconstruction of the ligaments of the pelvic floor. This proposed technique constitutes a surgical alternative that allows a global response to the symptoms reported by the patients.
Method:
Reconstruction of the pubourethral, cardinal and uterosacral ligaments with shortening of their length and placement of polypropylene mesh tape that allows collagen formation and improves long-term results.
Results:
15 patients with pelvic organ prolapse, urinary incontinence, vulvodynia, nocturia, impaired bladder emptying and nocturia were included. Follow-up was performed at 1, 3 and 6 years. A statistically significant difference was obtained at one year in stress urinary incontinence, pelvic pain, impaired voiding, and nocturia and prolapse (p = 0.33, 0.033, 0.002, and 0.001, respectively). At 6-year follow-up, 20% of the initial sample was evaluated, 2 patients with recurrence of impaired voiding and urinary incontinence, none with recurrence of prolapse. Vulvodynia: 2 patients were included who did not have the symptom at 3 years of follow-up.
Conclusions:
The proposed technique is an alternative for the treatment of pelvic floor pathology. A larger sample is necessary to improve the learning curve of this technique and achieve greater statistical evidence of its outcomes at short and long term.
Palavras-chave : Integral theory of continence; surgical technique; pelvic organ prolapse; stress urinary incontinence; pelvic pain.
