Recurrent pelvic organ prolaps after surgery
Abstract
Abstrak. Prolaps organ panggul (POP) adalah turunnya organ panggul kedalam liang vagina hingga keluar dari introitus vagina. Organ panggul yang dapat mengalami prolaps adalah uterus, tunggul vagina, vesika urinaria dan rektum. Penatalaksanaan prolaps organ panggul terdiri pencegahan, konservatif dan operatif. Penaganan operatif/bedah telah diteliti memiliki dampak jangka panjang yang lebih baik dalam meningkatkan kualitas hidup. Namun jumlah rekurensi dan reoperasi setelah manajemen operatif masih dapat terjadi. Istilah “recurrent‟ merujuk pada “kegagalan‟ dari operasi sebelumnya yang dapat bersifat objektif dan atau subjektif. Recurrent pelvic organ prolapse after surgery didefinisikan sebagai terjadinya kekambuhan secara anatomis. Terjadinya rekurensi pasca operasi dikaitkan dengan pemilihan prosedur operasi, kepatuhan pasien pasca operasi, pasien POP stadium lanjut, dan keahlian operator, komorbiditas seperti penyakit paru obstruktif kronik (COPD), sembelit kronis, kembali dilakukannya aktivitas fisik berat seperti angkat berat, dapat meningkat risiko kekambuhan.
Kata Kunci: Recurrent pelvic organ prolapse, Prolaps Organ Panggul (POP), Manajemen operatif
Abstract.Pelvic organ prolapse (POP) is the descent of the pelvic organs into the vaginal canal until they emerge from the vaginal introitus. The pelvic organs that can prolapse are the uterus, vaginal vault, bladder and rectum. Management of pelvic organ prolapse consists of prevention, conservative and operative. Surgical management has been shown to have a better long-term impact on improving quality of life. However, the number of recurrences and reoperations after operative management can still occur. The term “recurrent” refers to the “failure” of the previous operation which can be objective and/or subjective. Recurrent pelvic organ prolapse after surgery was defined as the occurrence of anatomical recurrence. The occurrence of postoperative recurrence is associated with the choice of surgical procedure, postoperative patient compliance, advanced POP patients, and operator expertise, comorbidities such as chronic obstructive pulmonary disease (COPD), chronic constipation, return to strenuous physical activity such as heavy lifting, can increase the risk of recurrence
.Keywords: Recurrent pelvic organ prolapse, Pelvic Organ Prolapse (POP), Operative managementKeywords
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DOI: 10.24815/jks.v0i0.26654
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