Management Of Uterine Prolapse Research Articles

Nursing Care For Patients Uterine Prolaps and Severe Anemia: Case Study

Uterine prolapse is a condition where the uterus herniates into the vagina as a result of ligament failure and fascial support. Uterine prolapse often occurs together with prolapse of the vaginal wall, which involves the bladder or rectum. menopausal women. If uterine prolapse is not treated immediately, it can cause other health problems such as bleeding which can cause severe anemia. The purpose of this study was to describe nursing care that can be carried out in patients with uterine prolapse with severe anemia. The method used is a descriptive method with a case study approach, while the instrument used is an observation format at the Bandung City Hospital and an assessment format from the Unpad Faculty of Nursing. The sample in this study was one patient with uterine prolapse with severe anemia. The nursing diagnoses found in patients are the risk of shock, acute pain, and risk of infection. The implementation provided is in the form of shock management which includes blood transfusion therapy, tranexamic acid therapy, and monitoring of vital signs. Management of uterine prolapse in the form of Kegel exercises and placing a pessary, pain management, as well as prevention of infection. As a result, it was found that there was an improvement in the Hb value from 7 gr/dL to 10 gr/dL, complaints of weakness and pain decreased, and the patient had been placed with a pessary type pessary ring with support. The existence of uterine prolapse is necessary to increase awareness to prevent the incidence of uterine prolapse and to minimize the impact that occurs due to uterine prolapse, as well as to increase patient awareness to conduct examinations to health services.

Management of Uterine Prolapse in a Cat– A Case Report

Management of Uterine Prolapse in a Cat– A Case Report

Successful treatment and management of uterine prolapse in ongole cattle - A case report

Successful treatment and management of uterine prolapse in ongole cattle - A case report

Initial evaluation treatment results of laparoscopic pectopexy in the management of uterine prolapse

Background: In recent years, laparoscopic pectopexy has become increasingly prevalent in the treatment of pelvic organ prolapse; nonetheless, this technique has only been used at Khanh Hoa General Hospital since 2020.
 Objectives: To evaluate the effectiveness of laparoscopic pectopexy in patients with uterine prolapse and to evaluate the quality of life of patients after the surgery.
 Subjects and methods: A case series with follow-up on 58 patients with uterine prolapse ≥ grade 2, who had laparoscopic pectopexy at Khanh Hoa General Hospital between February 2020 and July 2021.
 Results: Complication rates during and after the procedure were low, blood loss was minimal, and there were no instances requiring blood transfusions during the procedure. During a 6-month follow-up, no patient had surgical infection, erosion, or transplant rejection. The typical procedure lasted between 90 and 120 minutes. Most postoperative patients only had minor discomfort. The recurrence rate was minimal (1.7%) during the 6-month follow-up period. 95% of patients were satisfied with the surgical procedure. Prior to surgery, the QoL of patients was relatively poor, with a mean PFDI-20 (Pelvic Floor Distress Intervention) score of 130 and a PFIQ-7 (Pelvic Floor Impact Questionnaire) score of 148. The worse the uterine prolapse, the worse the patient’s quality of life. Three months after surgery, the average PFDI-20 score was 8 and the average PFIQ-7 score was 10; six months after surgery, the average scores for these two indices were nearly 0.
 Conclusion: If there are no contraindications, laparoscopic pectopexy should be utilized to treat uterine prolapse.

Management of uterine prolapse in young women

Uterine prolapse is a benign condition, affecting women of all age and occurring after vaginal child birth or other condition, it weaken the muscle and tissues of pelvic floor resulting in uterus drop into the vagina. Various option for treatment exist from conservative to radical surgery. Up to date, the FDA ban of synthetic mesh use does not concern the use abdominal repair of uterine prolapse but this could become prohibited in future, forcing surgeons to think about viable alternatives and to try new methods. Further reports should be done to ameliorate the patient quality of life especially for young women who desire to keep their sexual life and fertility abilities. We conducted a literature review to study the opportunities and outcomes of treating uterus prolapse in young women.

A study to assess the effectiveness of self instructional module on level of knowledge regarding prevention and management of uterine prolapse among the perimenopausal women in selected urban areas at Jaipur.

A study to assess the effectiveness of self instructional module on level of knowledge regarding prevention and management of uterine prolapse among the perimenopausal women in selected urban areas at Jaipur.

A study of management of uterine prolapse at tertiary health care center

A study of management of uterine prolapse at tertiary health care center

Correction and management of uterine prolapse in a Holstein Friesian cow

A three years old Holstein Friesian (HF) cow with a history of premature calving was brought to the clinics of Veterinary college and Research Institute, Nammakal. The cow showed protrusion of mass through the vulva after its first calving. On clinical examination animal was apparently healthy and confirmed as uterine prolapse. The Uterine prolapse was corrected manually following proper precautionary measures. To prevent the recurrence, Buhner’s suture was applied. Animal had an uneventful recovery.
 Asian Australas. J. Biosci. Biotechnol. 2017, 2 (3), 251-254

Hysteropreservation versus hysterectomy in the surgical treatment of uterine prolapse: systematic review and meta-analysis.

The efficacy and safety of removing or preserving the uterus during reconstructive pelvic surgery is a matter of debate. We performed a systematic review and meta-analysis of studies that compared hysteropreservation and hysterectomy in the management of uterine prolapse. PubMed, Medline, SciELO and LILACS databases were searched from inception until January 2017. We selected only randomized controlled trials and observational cohort prospective comparative studies. Primary outcomes were recurrence and reoperation rates. Secondary outcomes were: operative time, blood loss, visceral injury, voiding dysfunction, duration of catheterization, length of hospital stay, mesh exposure, dyspareunia, malignant neoplasia and quality of life. Eleven studies (six randomized and five non-randomized) were included involving 910 patients (462 in the hysteropreservation group and 448 in the hysterectomy group). Pooled data including all surgical techniques showed no difference between the groups regarding recurrence of uterine prolapse (RR 1.65, 95% CI 0.88-3.10; p=0.12), but the risk of recurrence following hysterectomy was lower when the vaginal route was used with native tissue repair (RR 10.61; 95% CI 1.26-88.94; p=0.03). Hysterectomy was associated with a lower reoperation rate for any prolapse compartment than hysteropreservation (RR 2.05; 95% CI 1.13-3.74; p=0.02). Hysteropreservation was associated with a shorter operative time (mean difference -12.43min; 95% CI -14.11 to -10.74; p<0.00001) and less blood loss (mean difference -60.42ml; 95% CI -71.31 to -49.53ml; p<0.00001). Other variables were similar between the groups. Overall, the rate of recurrence of uterine prolapse was not lower but the rate of reoperation for prolapse was lower following hysterectomy, while operative time was shorter and blood loss was less with hysteropreservation. The limitations of this analysis were the inclusion of nonrandomized studies and the variety of surgical techniques. The results should be interpreted with caution due to potential biases.

Clinical Management of Uterine Prolapse in Non-raising Hindquarter Condition of Cross Breed Dairy Cow

Clinical Management of Uterine Prolapse in Non-raising Hindquarter Condition of Cross Breed Dairy Cow

English

Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. The presence of a foreign body or device in the female pelvis can be a potential source of confusion to the radiologists, particularly to the inexperienced reader. We present a rare C.T. scan finding of a hard fruit kept in vagina 5yrs back for uterine prolapse.

Preliminary study on clinical application of robotic sacral hysteropexy in treatment of uterine prolapse

To study the clinical efficacy of robotic sacral hysteropexy in treatment of uterine prolapse. From January 2012 to December 2013, 3 patients undergoing robotic sacral hysteropexy in treatment of uterine prolapse in General Hospital of People's Liberation Army were studied retrospectively. Operation time, blood loss and postoperative recovery exhaust time and pelvic organ prolapse quantification (POP-Q) staging were evaluated. Three patients were treated by robotic sacral hysteropexy successfully. The mean operation time was 221 minutes (210-240 minutes), mean blood loss was 45 ml. One case with II degree perineal laceration patients simultaneously perineal repair, neither intra-nor post-operative complications occurred. The mean postoperative recovery exhaust time was 16 hours. At three months of follow-up, all 3 patients got satisfaction. Although one patient at the first six months of postoperation had leakage of urine when coughing, instruct exercise pelvic floor muscle function and acupuncture one month their symptoms disappear. Robotic sacral hysteropexy pave the way for an effective option in the management of uterine prolapse.

Management of Uterine Prolapse in Goat - A Case Report

This study reports a case of post partem uterine prolapse in a goat. The animal was brought to the hospital with a complaint of uterine prolapse. The everted organ was carefully handled and the debris was removed by washing with dilute potassium per magnet solution. Epidural anaesthesia was achieved by using lignocaine solution. The prolapsed uterus was replaced ana broad spectrum antibiotics were administered intramuscularly. The animal was hospitalized for close monitoring. There was no reoccurence and animal was discharged after two days.

English

Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. Foreign body in vagina is common in young children such an event in adults is rare. We present two case of long forgotten vaginal foreign body (pessary) detected 35 and 24 years after its insertion in a 84 and 67 year old lady. Both the patients presented with malodorous and occasional bloody discharge per vaginum. Both of them were suspected for cancer of cervix and were referred to Gynaecological Oncology department. They were found to be having an impacted ring pessary and it was removed with some difficulty. The patients are asymptomatic thereafter. A review of the relevant literature was undertaken and complications associated with vaginal pessaries are reviewed.

A 13th-century description of uterine prolapse: causes, symptoms and treatment

To describe and discuss Gilbertus Anglicus' contribution to the diagnosis and management of uterine prolapse in the Middle Ages. Anglicus'Compendium medicinae (ca. 1240) is generally considered a well-documented, systematic epitome of classical and early medieval medical knowledge. The British Library's Sloane manuscript 3486 contains a 15th-century English translation of Anglicus' work, and devotes folios 140(v)-147(v) to a small treatise on gynecology and obstetrics (the so-called 'sekenesse of wymmen'). Chapter six, in particular, deals with uterine prolapse by first approaching disease etiology, female physiology and symptom complex, and ending with a proposal of different therapeutic options to effectively treat or prevent the disorder. The 13th-century English physician Gilbertus Anglicus identified three different types of uterine prolapse, taking into account the obstetrical and gynecological writings of classical and early medieval authors. Anglicus systematically compiled some of the relevant information available to provide an accurate description of the etiology, symptom complex and treatment of this female disorder.

Uterine transposition before radiation therapy in young female rectal cancer patients: A novel technique aimed at preserving fertiliy.

e19592 Background: Neoadjuvant radiation therapy is standard in the management of locally advanced ano-rectal cancer. Laparoscopic ovarian tranposition is routinely proposed to preserve endocrine function in young patients. However, direct external irradiation of the uterus usually alters endometrial and myometrial funcion, impairing the development and outcome of pregnancy. The only recourse is then surrogacy, that raises unsolved ethical issues and is not legal in many countries. Methods: We report the first attempts at surgical uterine transposition before irradition for rectal cancer in three patients between October and December 2009. The rationale of this operation is to elevate the uterine corpus outside the pelvis thus moving the endometrium away from the irradiation field. Ventrofixation of the uterus has long been described using an open approach in the management of uterine prolapse. As this operation can be performed laparoscopically at the time of ovarian tranposition, it does not delay the initation of definitive therapy. Results: Although modern high precision radiation techniques may reduce the amount of radiation delivered to the uterus, it is clear that moving the endometrium away from the main irradiation field provides a much better protection. Preliminary data show that radiation dose does not exceed 12 grays after uterine transposition. No surgical complication was observed. Menses spontaneously resumed in the first two patients with over one month follow-up. Follow-up is too short to provide obstetrical data but it is clear that uterine transpositon is a novel technique that can be proposed to young patients presenting with rectal cancer. Conclusions: Whenever applicable, the concept can be extended to other pelvic malignancies in children and young female patients. For cured patients, avoiding the burden of definitive infertility or high-risk pregnancy is a substantial improvement in quality of life. No significant financial relationships to disclose.

Robotic Supracervical Hysterectomy and Cervicosacropexy for the Management of Uterine Prolapse

Robotic Supracervical Hysterectomy and Cervicosacropexy for the Management of Uterine Prolapse

Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation

Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation

Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation

The surgical management of uterine prolapse in women who wish to retain their uterus remains a challenge. Several techniques have been reported using open abdominal, laparoscopic and vaginal approaches. The laparoscopic approach offers both excellent intraoperative visualisation of supportive and adjacent structures and quick postoperative recovery. Currently, laparoscopic suspension of the uterus to the round ligaments, uterosacral ligaments, suture and synthetic mesh suspension to the sacral promontory have been reported. This report describes a new surgical technique of laparoscopic uterine suspension, which has been performed successfully in eight women. Mersilene tape is used to suspend the uterus to the sacral promontory bilaterally and to recreate new uterosacral ligaments.

Authors response to: Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation

Authors response to: Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation