Laparoscopic Nerve-Preserving Sacropexy

Ercoli, Alfredo; Cosma, Stefano; Riboni, Francesca; Campagna, Giuseppe; Petruzzelli, Paolo; Surico, Daniela; Danese, Saverio; Scambia, Giovanni; Benedetto, Chiara

doi:10.1016/j.jmig.2017.03.008

Cited by 21 publications

(17 citation statements)

References 6 publications

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“…Both studies reported no functional outcomes. Our surgical techniques are in line with Ercoli et al by preserving the INH at the level of the sacral promontory and the remnant uterosacral ligaments and by respecting the borders of the dissection plane anteriorly and posteriorly down to the level of the perineal body . To date there are no data available on functional outcomes regarding bladder dysfunction after NS‐SCP.…”

Section: Discussionsupporting

confidence: 53%

“…To date there are only two video publications available on NS‐SCP. The exact surgical techniques and steps are clearly described . Experienced surgeons easily implement the surgical steps during the dissection of the perineum, and the vesicovaginal and rectovaginal spaces.…”

Section: Discussionmentioning

confidence: 99%

“…The rectovaginal space was then opened and carefully dissected along the vaginal probe to the cranial edge of the perineal body at the level of the levator ani muscle. The peritoneal tunnel was joint with dissection of the superficial layer of the right uterosacral ligament, preserving its deep nervous portion as described by Ercoli et al .The fixation of the polypropylene mesh anteriorly, posteriorly and at the sacral promontory was conducted in the usual manner under visualization of the IHN medial to the points of fixation .…”

Section: Methodsmentioning

confidence: 99%

“…However, the IHN and its fine fibers are difficult to identify, resulting in iatrogenic lesions, which are often ignored and commonly tolerated, although this can lead to bladder, bowel and sexual dysfunction. To date, there are sparse data regarding how successfully the IHN is preserved during sacrocolpopexy, so avoiding bladder, bowel and sexual dysfunction .…”

Section: Introductionmentioning

confidence: 99%

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Functional outcome after laparoscopic nerve‐sparing sacrocolpopexy: a prospective cohort study

Christmann-Schmid

Koerting

Ruess

et al. 2018

Acta Obstet Gynecol Scand

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Functional outcome after laparoscopic nerve‐sparing sacrocolpopexy: a prospective cohort study

Christmann-Schmid

Koerting

Ruess

et al. 2018

Acta Obstet Gynecol Scand

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“…[ 7 8 9 10 ] However, these procedures have been associated with some complications, and the most common of these complications stress urinary incontinence (SUI) and defecation disorders. [ 11 12 ] Furthermore, presacral venous plexus can be injured during the dissection of the pelvic viscera from the sacrum, and this damage may be ended with life-threatening circumstances. [ 13 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

Obut

Oğlak

Akgöl

2021

Gynecology and Minimally Invasive Therapy

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Objectives: We sought to compare the surgical outcomes, safety, effectiveness, and mid-term outcomes in patients who had undergone laparoscopic hysterosacropexy and laparoscopic pectopexy due to apical prolapse. Materials and Methods: This prospective randomized study was conducted on a total of 62 women who underwent apical prolapse surgery (32 undergoing a pectopexy and 30 undergoing a sacrohysteropexy) between June 2015 and June 2017. Patients with symptomatic uterine or vaginal vault prolapse with stage 2 or worse were included in the sudy. Before and after the operation, we used the Pelvic Organ Prolapse Quantification System (POP-Q) and questionnaires, which are the Prolapse Quality of Life Questionnaire (P-QOL) and Female Sexual Function Index (FSFI), to evaluated cases. Baseline characteristics, perioperative and postoperative complications, and follow-up results at 12 months were also evaluated. Results: All domains of POP-Q, P-QOL, and FSFI scores improved significantly after surgery both in pectopexy and sacrohysteropexy group. The postoperative complications of both procedures were similar except for constipation after surgery (3.2% in the pectopexy group and 20% in the hysterosacropexy group [ P = 0.036]). Conclusion: Both sacrohysteropexy and pectopexy are effective surgical options for apical prolapse patients. The pectopexy is an acceptable alternative to laparoscopic sacrohysteropexy because of its less complexity and not reducing pelvic space for the rectum to exist. We suggest that the laparoscopic pectopexy may be widely used in clinical routine.

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Sacrocolpopexy after sub‐total hysterectomy vs. sacral hysteropexy for advanced urogenital prolapse: A propensity‐matched study

Arcieri

Morlacco

Montebelli

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo compare objective and subjective outcomes of laparoscopic sacral colpopexy with supracervical hysterectomy (L‐SCP) and robotic sacral hysteropexy (R‐SHP).MethodsThis is a multicenter retrospective propensity score matched study. In the period between January 2014 and December 2018, we enrolled 161 patients with apical prolapse stage 2 or above, alone or with multicompartment descensus.ResultsAfter propensity‐match analysis, there were 44 women for each group. Patients of the two groups had similar preoperative characteristics. No difference was found in terms of estimated blood loss, hospital stay, operative time, and intraoperative or postoperative complications. Subjective success rate, 12 months after surgery, was statistically better in the L‐SCP group (P = 0.034): 81.8% and 97.8% women had Patient Global Impression of Improvement scores less than 3, in R‐SHP and L‐SCP, respectively. The objective cure rate was high in both groups without any significant differences in recurrence rate (P = 0.266).ConclusionBoth procedures are safe and effective in pelvic organ prolapse treatment. Patients who no longer desire uterine preservation could be encouraged to consider L‐SCP. R‐SHP is an alternative in women who are strongly motivated to preserve their uterus in the absence of abnormal uterine findings.

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Laparoscopic Nerve-Preserving Sacropexy

Cited by 21 publications

References 6 publications

Functional outcome after laparoscopic nerve‐sparing sacrocolpopexy: a prospective cohort study

Functional outcome after laparoscopic nerve‐sparing sacrocolpopexy: a prospective cohort study

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

Sacrocolpopexy after sub‐total hysterectomy vs. sacral hysteropexy for advanced urogenital prolapse: A propensity‐matched study

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