Laparoscopic Sacral Colpopexy Approach for Genito-Urinary Prolapse: Experience with 363 Cases

Rozet, François; Mandron, E.; Arroyo, Carlos; Andrews, Henry Russell; Cathelineau, Xavier; Mombet, Annick; Cathala, Nathalie; Vallancien, Guy

doi:10.1016/j.eururo.2004.08.014

Cited by 219 publications

(134 citation statements)

References 19 publications

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“…22,23 Although abdominal sacrocolpopexy for POP repair was initially accompanied by longer operative times, higher morbidity, longer hospital stays, and longer recovery times than vaginal repair was, recurrence rates and resultant dyspareunia have been significantly lower. 16,24,25 However, technological advancements have enabled the development of laparoscopic sacrocolpopexy, 17 which has decreased the procedure's morbidity and hospital stay, 18,26 but requires significant practice for proficiency. Subsequently, sacrocolpopexy was introduced using the robotic-assisted laparoscopic approach, which eased the technical burden.…”

Section: Discussionmentioning

confidence: 99%

“…16 Recovery time has since decreased with the introduction of the laparoscopic sacral colpopexy by Nezhat 17 in 1994 while retaining high success rates. 18 The introduction of robotic-assisted laparoscopic sacrocolpopexy has added the laparoscopic advantages of shorter operative and recovery times by negating the technical difficulties of conventional laparoscopy while maintaining high success rates. 19–21 …”

Section: Introductionmentioning

confidence: 99%

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Supracervical Robotic-Assisted Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse

Benson¹,

Kramer²,

Wayment³

et al. 2010

JSLS

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supracervical Robotic-Assisted Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse

Benson¹,

Kramer²,

Wayment³

et al. 2010

JSLS

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show abstract

“…This may be compared to the rates reported in the literature between 2.2% and 17.4% [18,[20][21][22][23][24][25]. Bladder wounding is the most frequent complication: 0.8-3% in our study vs. 1-7% in literature [8,9,[18][19][20][21][26][27][28][29][30][31]. Diagnosis was always made during intervention with immediate suture and simple aftereffects.…”

Section: Discussionmentioning

confidence: 61%

“…Evolution to suburethral strips limits this risk, which is still non-existent with retropubic route [33]. Other complications are reported in literature such as small intestine occlusion sometimes imposing digestive resection [8,21,28]. For us, it seems of utmost importance to peritonize the mesh and suture aponeurosis for trocars superior to 10 mm to limit this risk.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

et al. 2011

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Genital prolapse is one of the most frequent reasons for gynaecologic consultations. Laparoscopic sacrocolpopexy (LSC) became the gold standard since laparoscopy was developed. We retrospectively compared two groups of patients: 82 who undergone LSC from January 1996 to December 2002 (group A) and 169 from January 2002 to December 2009 (group B), always by the same team. Suspension was reinforced with two strips of synthetic mesh. Laparoscopy was performed in 93 women of group A and 169 of group B. They all had symptomatic uterine prolapse. Conversion to laparotomy because of technical difficulties was significantly lower in the second than the first period (1 vs. 11, p<0.001). We performed less culdoplasty, levator myorrhaphy and Burch colposuspension (p<0.001) but more associated cure of urinary stress incontinence in the second period. Peri-operative complications (7.3% vs. 1.8%, p=0.006), post-operative complications (21% vs. 5%), and surgical length decreased (231 to 191 min, p<0.001). Six patients (7%) in group A had reintervention, 15 (9%) in group B. LSC is a reproducible technique. A learning curve shortens the length of intervention and operative and post-operative complications and rate of conversion to laparotomy.

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“…7 However, a minimally invasive laparoscopic approach has been developed over recent years, and has been shown to be comparable to surgery in terms of functional outcome whilst also demonstrating all the advantages of laparoscopy. 8 Since 2004, a robot-assisted laparoscopic approach for sacrocolpopexy (RALSCP) has been suggested to be a viable alternative to a purely laparoscopic technique. [9][10][11] To date, however, there are no specific data available concerning the results of RALSCP in obese women.…”

Section: Introductionmentioning

confidence: 99%

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Thubert

Dabi

Joubert

et al. 2017

UIJ

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The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m 2 . Relationships with outcome analysed using MannWhitney U-test and Fisher's exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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Laparoscopic Sacral Colpopexy Approach for Genito-Urinary Prolapse: Experience with 363 Cases

Cited by 219 publications

References 19 publications

Supracervical Robotic-Assisted Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse

Supracervical Robotic-Assisted Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse

Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

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