Laparoscopic Pelvic Floor Surgery

Deprest, Jan; Page, Ann‐Sophie; Wolthuis, Albert; Housmans, Susanne

doi:10.1007/978-3-030-40862-6_56

Cited by 2 publications

(2 citation statements)

References 59 publications

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“…Imaging technique of pelvis MRI at Radiology Department of Mayapada Hospital is in accordance with the theory by using the right topography. It began with obtaining the sagittal plane and was then used as a guidance to obtain other planes, such as axial oblique and coronal oblique (Deprest et al, 2021;Ho et al, 2019). The retriever is tilted anteriorly approximately 45° vertically in the sagittal plane to allow accurate assessment of fistula tract origin on axial and coronal images (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Figure6shows an image with the administration of contrast media and the T1 TSE SPIR + C sagittal fat suppression method and arrows showing active inflammation around the fistula sagittal fat suppression method and arrows showing active inflammation around the fistula.Imaging technique of pelvis MRI at Radiology Department of Mayapada Hospital is in accordance with the theory by using the right topography. It began with obtaining the sagittal plane and was then used as a guidance to obtain other planes, such as axial oblique and coronal oblique(Deprest et al, 2021;Ho et al, 2019). The retriever is tilted anteriorly approximately 45° vertically in the sagittal plane to allow accurate assessment of fistula tract origin on axial and coronal images (Figure1).…”

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MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence

et al. 2023

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MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.

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confidence: 99%

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MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence

et al. 2023

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Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population

Mudalige,

Pathiraja,

Delanerolle

et al. 2024

BJUI Compass

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BackgroundPelvic organ prolapse (POP) occurs when one or more pelvic organs (uterus, bowel, bladder or top of the vagina) descend from their normal position and bulge into the vagina. Symptoms include pelvic discomfort, fullness, and changes in bladder or bowel function. Treatment ranges from conservative approaches to surgery, depending on symptom severity. Surgical methods include vaginal wall repair, with or without hysterectomy, or via laparoscopic, robotic or open techniques. Common complications include bleeding, infection, and urinary or bowel dysfunction.MethodsA systematic review was conducted, and a protocol was registered with PROSPERO (CRD42022346051). Publications from 30 April 1980 to 30 April 2023 were retrieved from multiple databases. Data were analysed using random‐effects and common‐effects models with subgroup and sensitivity analyses.FindingsForty‐four studies met the inclusion criteria, with 29 studies used for meta‐analysis of vaginal prolapse surgery outcomes. Sixteen studies focused on patients who had undergone hysterectomy alongside prolapse repair.InterpretationPatients who underwent vaginal prolapse surgery with hysterectomy experienced higher operative and postoperative complication rates than those without hysterectomy. Increased risks included hospital readmission, POP recurrence and re‐operation. The review highlighted a lack of diversity in terms of ethnicity, age and comorbidity status, which are essential to fully understanding the impact of POP. Future research should focus on these underrepresented factors.

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Laparoscopic Pelvic Floor Surgery

Cited by 2 publications

References 59 publications

MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence

MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence

Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population

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