Điều trị sa sinh dục độ III-IV hai thì, phẫu thuật phục hồi thành âm đạo kết hợp nội soi treo tử cung trực tiếp vào thành bụng

Proplasus is a quite common disease among women, especially in pre-menopause and menopause period among women. Still, the application of endoscopic surgery in treatment is considerably restricted. Researchers applied the technology in which the uterine hangs up against the promontofixatlon in treatment; However, strictly standardized technique and expensive equipments are required. In 2008, the procedure of the endoscopic suspension method of uterine against abdominal wall for prolapse was reported. This procedure was proved advantageous though there was a minor proportion of prolapsed vagina wall-bladder recurrence. Thus, from January 2010, the study two-stage treatment for prolasus at level III - IV, combination of vaginal wall recovery and endoscopic suspension of uterine against the adominal wall. Aim: Describe technologies and evaluate the initial efficiency of the two-stage treatment for prolasus at level III-IV, combination of vaginal wall recovery and endoscopic suspension of uterine against the adominal wall. Objectives and methodology: In the study, 19 patients who had prolapse at level III - IV are applied the two-stage treatment for prolasus at level III - IV, combination of vaginal wall recovery and endoscopic suspension of uterine against the adominal wall. Result: Among 33 patients were treated, there were 11/33 cases (33.33 percent) at age group of 70-79, 12/33 at age group of 60-69; 20/33 cases of prolapse at level IV (66.61 percent) ; 13/33 cases of prolapse at level III (39.39 percent). All cases (100 percent) were surgeried successfully within the average time of 49.54 minutes (step one lasted 30.54 minutes, step two lasted 13.79 minutes). The recovery time was about 8.72 hours. There were no tratactrophe occured during the surgery, all patients were sastified with the results and no patients had the proplapse recurrent after the surgery. Conclusion: This new method firstly was applied in Vietnam-Cuba Dong Hoi Hospital and proved to be successful. The technique is simple, less invasive, limits complications, shorten operation time and health recovery, brings the aestheticism and satisfaction. It is requires basic endoscopic-surgery equipments, the expenses is unchanged and can be applied for health institutions with basic endoscopic surgery capacity.