Simplified laparoscopic sacropexy avoiding deep vaginal dissection

Objective To evaluate the safety and efficacy of a “simplified” laparoscopic sacropexy approach. Methods Data were retrospectively assessed from women with apical prolapse of stage 2 or higher who underwent “simplified” laparoscopic sacropexy between October 1, 2010, and May 31, 2017 at the St Anna...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2018-11, Vol.143 (2), p.239-245
Main Authors: Cosma, Stefano, Petruzzelli, Paolo, Chiadò Fiorio Tin, Michela, Parisi, Silvia, Olearo, Elena, Fassio, Federica, Zizzo, Roberto, Danese, Saverio, Benedetto, Chiara
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Humans
Laparoscopic colposacropexy
Laparoscopic sacral colpopexy
Laparoscopic sacrocolpopexy
Laparoscopic sacropexy
Laparoscopy - methods
Levator ani muscle
Middle Aged
Operative Time
Pelvic organ prolapse
Promontofixation
Quality of Life
Retrospective Studies
Surgical Mesh
Uterine Prolapse - classification
Uterine Prolapse - surgery
Vagina - surgery
Vaginal vault prolapse
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Summary:Objective To evaluate the safety and efficacy of a “simplified” laparoscopic sacropexy approach. Methods Data were retrospectively assessed from women with apical prolapse of stage 2 or higher who underwent “simplified” laparoscopic sacropexy between October 1, 2010, and May 31, 2017 at the St Anna Hospital, City of Health and Science, Torino, Italy. Patients were treated with the “simplified” laparoscopic sacropexy, where meshes were anchored solely to the vaginal apex, even in the presence of advanced multi‐compartment vaginal prolapse. Data on prolapse stage and urogenital functions collected through clinical examinations, and questionnaires at baseline, 6 months, 12 months, and annually thereafter were examined. Results Overall, 121 women were included in the analysis; the mean follow‐up was 33.2 months. Mean operative time was 135.1 minutes; there were no intraoperative visceral or vascular injuries. There was 1 (0.8%) patient who experienced recurrence, and 2 (1.7%) who experienced vaginal erosion. Both urogenital symptom scores (all P
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.12632