Impact of Sacrospinous Colpopexy Associated with Anterior Colporrhaphy for the Treatment of Dome Prolapse on all Three Vaginal Compartments

Objective To evaluate the results of sacrospinous colpopexy surgery associated with anterior colporrhaphy for the treatment of women with post-hysterectomy vaginal vault prolapse. Methods This prospective study included 20women with vault prolapse, PelvicOrgan Prolapse Quantification System (POP-Q) stage≥2, treated between January 2003 and February 2006, and evaluated in a follow-up review (more than one year later). Genital prolapse was evaluated qualitatively in stages and quantitatively in centimeters. Prolapse stage < 2 was considered to be the cure criterion. Statistical analysis was performed using the Wilcoxon test (paired samples) to compare the points and stages of prolapse before and after surgery. Results Evaluation of the vaginal vault after one year revealed that 95% of subjects were in stage zero and that 5% were in stage 1. For cystocele, 50% were in stage 1, 10% were in stage 0 (cured) and 40% were in stage 2. For rectocele, three women were in stage 1 (15%), one was in stage 2 (5%) and 16 had no further prolapse. The most frequent complication was pain in the right buttock, with remission of symptoms in all three cases three months after surgery. Conclusions In this retrospective study, the surgical correction of vault prolapse using a sacrospinous ligament fixation technique associatedwith anterior colporrhaphy proved effective in resolving genital prolapse. Despite the low complication rates, there was a high rate of cystocele, which may be caused by posterior vaginal shifting due to either the technique or an overvaluation by the POP-Q system.

Seiberling All-Tread hinnasto N.o 2. 1.4.28

kuv., 11 x 14 cm

Seiberling All-Tread hinnasto N:o 2. 1.4.28

kuv., 11 x 14 cm

Seiberling All-Tread hinnasto N:o 3. - 15.3.29

kuv., 11 x 14 cm

Seiberling All-Tread Prislista N:o 3. - 15.3.29

kuv., 11 x 14 cm

One process to rule them all? The role of a repository platform in the management of digitized cultural heritage at the National Library of Finland

Presentation at Open Repositories 2013, DSpace User Group, on 12.7.2013 in Charlottetown, PEI, Canada

Rising to the impossible challenge: the storage of all research data, forever?

Presentation at Open Repositories 2014, Helsinki, Finland, June 9-13, 2014

Raise All Ships: Cooperative Repository Strategies in a Boot-Strap Culture

Presentation at Open Repositories 2014, Helsinki, Finland, June 9-13, 2014

Comparison study of two competing models of an all mechanical power transmission system

A comparison between two competing models of an all mechanical power transmission system is studied by using Dymola –software as the simulation tool. This tool is compared with Matlab/ Simulink –software by using functionality, user-friendliness and price as comparison criteria. In this research we assume that the torque is balanceable and transmission ratios are calculated. Using kinematic connection sketches of the two transmission models, simulation models are built into the Dymola simulation environment. Models of transmission systems are modified according to simulation results to achieve a continuous variable transmission ratio. Simulation results are compared between the two transmission systems. The main features of Dymola and MATLAB/ Simulink are compared. Advantages and disadvantages of the two softwares are analyzed and compared.

A map of Marco Polo's voyages & travels in the 13th century through a great part of Asia, all Tartary, the East India islands & part of Africa

Nimeketiedot nimiönkehyksissä