{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:02:52Z","timestamp":1785427372023,"version":"3.56.0"},"reference-count":42,"publisher":"Akademiai Kiado Zrt.","issue":"31","license":[{"start":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T00:00:00Z","timestamp":1754179200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Eur\u00f3pai Uni\u00f3 Helyre\u00e1ll\u00edt\u00e1si \u00e9s Ellen\u00e1ll\u00f3k\u00e9pess\u00e9gi Eszk\u00f6z","award":["RRF-2.3.1-21-2022-00012"],"award-info":[{"award-number":["RRF-2.3.1-21-2022-00012"]}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Alacsony recid\u00edvaar\u00e1ny\u00e1nak \u00e9s a minim\u00e1linvaz\u00edv\n                    seb\u00e9szet el\u0151nyeinek k\u00f6sz\u00f6nhet\u0151en a laparoszk\u00f3pos sacrocolpopexia m\u00e1ra az egyik\n                    leggyakrabban alkalmazott beavatkoz\u00e1ss\u00e1 v\u00e1lt az apicalis uterovaginalis\n                    prolapsus kezel\u00e9s\u00e9ben. A m\u0171t\u00e9t sz\u00e1mos m\u00f3dozata ismert, amelyek megv\u00e1laszt\u00e1sa\n                    \u00e1ltal\u00e1ban az operat\u0151r egy\u00e9ni tapasztalat\u00e1t t\u00fckr\u00f6zi. A beavatkoz\u00e1s megfelel\u0151\n                    adapt\u00e1l\u00e1s\u00e1hoz \u00e9s biztons\u00e1gos kivitelez\u00e9s\u00e9hez a standardiz\u00e1lt m\u0171t\u00e9ti l\u00e9p\u00e9sek\n                    el\u0151nyei vitathatatlanok.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A k\u00f6zlem\u00e9ny c\u00e9lja, hogy\n                    bemutassuk a laparoszk\u00f3pos sacrocolpopexi\u00e1nak az irodalomban fellelhet\u0151\n                    evidenci\u00e1k alapj\u00e1n \u00e1ltalunk is alkalmazott f\u0151 l\u00e9p\u00e9seit, valamint elemezz\u00fck a\n                    m\u0171t\u00e9ttel kapcsolatos klinikai adatokat.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    A vonatkoz\u00f3\n                    szakirodalomnak \u00e9s a nemzetk\u00f6zi ir\u00e1nyelveknek, valamint saj\u00e1t tapasztalatainknak\n                    megfelel\u0151en a m\u0171t\u00e9tet a k\u00f6vetkez\u0151 standardiz\u00e1lt l\u00e9p\u00e9sekb\u0151l \u00e1ll\u00edtottuk \u00f6ssze: 1.\n                    a m\u0171t\u00e9ti ter\u00fclet felt\u00e1r\u00e1sa, 2. a promontorium dissecti\u00f3ja, 3. pararectalis\n                    dissectio, 4. rectovaginalis dissectio, 5. vesicovaginalis dissectio, 6.\n                    supracervicalis hysterectomia (amennyiben indik\u00e1ci\u00f3 vagy ig\u00e9ny fenn\u00e1ll, a\n                    m\u00e9htest jelen van, \u00e9s a cervix elt\u00e1vol\u00edt\u00e1sa nem indokolt), 7. a h\u00e1l\u00f3 r\u00f6gz\u00edt\u00e9se a\n                    h\u00fcvelyhez, 8. a h\u00e1l\u00f3 r\u00f6gz\u00edt\u00e9se a promontoriumhoz, 9. peritoniz\u00e1l\u00e1s, 10. a\n                    m\u00e9htest elt\u00e1vol\u00edt\u00e1sa a has\u00fcregb\u0151l.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A Debreceni\n                    Egyetem Klinikai K\u00f6zpontj\u00e1nak Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n 2022\n                    szeptembere \u00e9s 2023 \u00e1prilisa k\u00f6z\u00f6tt v\u00e9gzett 30 laparoszk\u00f3pos sacrocolpopexia\n                    adatait gy\u0171jt\u00f6tt\u00fck \u00f6ssze. Major intraoperat\u00edv \u00e9s posztoperat\u00edv komplik\u00e1ci\u00f3 nem\n                    t\u00f6rt\u00e9nt, a tervezett m\u0171t\u00e9ti t\u00edpust\u00f3l h\u00e1rom esetben volt sz\u00fcks\u00e9ges elt\u00e9rni. A\n                    m\u0171t\u00e9tet k\u00f6vet\u0151 6. heti kontroll sor\u00e1n a betegek t\u00f6bbs\u00e9g\u00e9n\u00e9l a szubjekt\u00edv\n                    prolapsust\u00fcnetek jelent\u0151s javul\u00e1st mutattak. K\u00e9t esetben panaszokat okoz\u00f3\n                    recid\u00edva fordult el\u0151, amelyek k\u00f6z\u00fcl az egyik konzervat\u00edv kezel\u00e9st, a m\u00e1sik\n                    m\u0171t\u00e9ti korrekci\u00f3t ig\u00e9nyelt.\n                    <jats:italic>De novo<\/jats:italic>\n                    stresszincontinentia nem\n                    jelentkezett.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A laparoszk\u00f3pos sacrocolpopexia az\n                    apicalis uterovaginalis prolapsus hat\u00e9kony m\u0171t\u00e9ti megold\u00e1sa lehet. A\n                    standardiz\u00e1lt l\u00e9p\u00e9sek k\u00f6vet\u00e9se a m\u0171t\u00e9t elv\u00e9gz\u00e9s\u00e9t biztons\u00e1gosabb\u00e1, k\u00f6nnyebben\n                    elsaj\u00e1t\u00edthat\u00f3v\u00e1 teheti, valamint alkalmaz\u00e1s\u00e1val a m\u0171t\u00e9ti id\u0151 is cs\u00f6kkenthet\u0151.\n                    Orv Hetil. 2025; 166(31): 1217\u20131223.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33309","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T21:53:47Z","timestamp":1754344427000},"page":"1217-1223","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Laparoszk\u00f3pos sacrocolpopexia: technikai \u00e1ttekint\u00e9s \u00e9s standardiz\u00e1lt l\u00e9p\u00e9sek"],"prefix":"10.1556","volume":"166","author":[{"given":"Attila Gergely","family":"Sipos","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bence","family":"Kozma","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"Farkas","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet P\u00e9cs Magyarorsz\u00e1g"},{"name":"Hum\u00e1n Reprodukci\u00f3s Nemzeti Laborat\u00f3rium, P\u00e9csi Tudom\u00e1nyegyetem P\u00e9cs Magyarorsz\u00e1g"},{"name":"HUN-REN\u2013PTE Hum\u00e1n Reprodukci\u00f3s Kutat\u00f3csoport P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Domj\u00e1n","sequence":"additional","affiliation":[{"name":"\u00c9szak-budai Szent J\u00e1nos K\u00f3rh\u00e1z, Urol\u00f3giai Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Tak\u00e1cs","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"},{"name":"Eastern Virginia Medical School, Department of Obstetrics and Gynecology Norfolk Amerikai Egyes\u00fclt \u00c1llamok"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zo\u00e1rd","family":"Krasznai","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Lamp\u00e9","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Wang B, Chen Y, Zhu X, et al. Global burden and trends of pelvic\n                    organ prolapse associated with aging women: an observational trend study from\n                    1990 to 2019. Front Public Health 2022; 10: 975829.","DOI":"10.3389\/fpubh.2022.975829"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Kov\u00e1cs-Berta R, Andrek A, Dombi E. Sexual dysfunction, activity and\n                    interest changes in the antenatal and postnatal period. [Szexu\u00e1lis\n                    funkci\u00f3zavarok, aktivit\u00e1s- \u00e9s \u00e9rdekl\u0151d\u00e9sv\u00e1ltoz\u00e1s a sz\u00fcl\u00e9s el\u0151tti \u00e9s ut\u00e1ni\n                    id\u0151szakban.] Orv Hetil. 2023; 164: 1807\u20131816. [Hungarian]","DOI":"10.1556\/650.2023.32907"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"K\u0151halmi E, Bak\u00f3 Gy. Endocrine changes, endocrine diseases in the\n                    elderly. [Endokrin v\u00e1ltoz\u00e1sok, endokrin betegs\u00e9gek id\u0151skorban.] Orv Hetil. 2024;\n                    165: 51\u201358. [Hungarian]","DOI":"10.1556\/650.2024.32950"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Swift S, Woodman P, O\u2019Boyle A, et al. Pelvic Organ Support Study\n                    (POSST): the distribution, clinical definition, and epidemiologic condition of\n                    pelvic organ support defects. Am J Obstet Gynecol. 2005; 192:\n                    795\u2013806.","DOI":"10.1016\/j.ajog.2004.10.602"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Barbalat Y, Tunuguntla HS. Surgery for pelvic organ prolapse: a\n                    historical perspective. Curr Urol Rep. 2012; 13: 256\u2013261.","DOI":"10.1007\/s11934-012-0249-x"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Lane FE. Repair of posthysterectomy vaginal-vault prolapse. 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Obstet Gynecol. 1994; 84: 885\u2013888."},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Cho EH, Shin ES, Kim SY. Laparoscopic sacrocolpopexy versus open\n                    abdominal sacrocolpopexy for pelvic organ prolapse repair: a retrospective\n                    cohort study. Ann Med Surg (Lond). 2022; 78: 103852.","DOI":"10.1016\/j.amsu.2022.103852"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Daneshgari F. FDA public health notification: serious complications\n                    associated with transvaginal placement of surgical mesh in repair of pelvic\n                    organ prolapse and stress urinary incontinence. Eur Urol. 2009; 55:\n                    1235\u20131236.","DOI":"10.1016\/j.eururo.2009.01.055"},{"key":"R12","unstructured":"U.S. Food and Drug Administration. Urogynecologic surgical mesh:\n                    update on the safety and effectiveness of transvaginal placement for pelvic\n                    organ prolapse. Available from:\n                        http:\/\/www.fda.gov\/downloads\/MedicalDevices\/Safety\/AlertsandNotices\/UCM262760.pdf\n                    [accessed: 17 March, 2025]."},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Skoczylas LC, Turner LC, Wang L, et al. Changes in prolapse surgery\n                    trends relative to FDA notifications regarding vaginal mesh. Int Urogynecol J.\n                    2014; 25: 471\u2013477.","DOI":"10.1007\/s00192-013-2231-7"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Dimitri S, Thomas A, Gabriel S. Laparoscopic sacrocolpopexy with\n                    deep attachment of anterior and posterior mesh. Int Urogynecol J. 2014; 25:\n                    1591\u20131592.","DOI":"10.1007\/s00192-014-2436-4"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Granese R, Candiani M, Perino A, et al. 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