Laparoscopic sacral suture hysteropexy for uterine prolapse

Krause, Hannah; Goh, Judith; Sloane, Kate; Higgs, P; Carey, Marcus

doi:10.1007/s00192-005-0019-0

Cited by 67 publications

(26 citation statements)

References 11 publications

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“…However, the concept of restoring the pelvic organs to their anatomic position prevails and has to relieve associated symptoms of POP. Our results indicate that, The models were adjusted for age at the time of surgery compared to reports from large series on sacrocolpopexy and sacral hysteropexy, the patients in our study not only had comparable demographic characteristics and gynaecological and obstetric history, but also had acceptable perioperative outcomes [15][16][17][18][19]. At 1 year, anatomically there was a significant reduction in POP-Q points Aa, C and Ba as compared with the preoperative assessment.…”

Section: Discussionmentioning

confidence: 61%

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

et al. 2017

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Section: Discussionmentioning

confidence: 61%

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

et al. 2017

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“…Vaginal hysterectomy has traditionally been considered as an initial step in the repair of uterine prolapse because it is thought to facilitate pelvic floor repair and improve results . Recent studies on the dynamics of pelvic organ support discuss the role of vaginal hysterectomy in uterovaginal prolapse repair .…”

Section: Discussionmentioning

confidence: 99%

Alternative surgical approach for the management of uterine prolapse in young women: Preliminary results

Karataylı

Balcı

Gezginç

et al. 2013

J of Obstet and Gynaecol

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Aim To demonstrate an alternative surgical approach for the management of uterine prolapse in young women by a technique that was previously defined for post‐hysterectomy vaginal vault suspension in published work and also to demonstrate successful operative results. Methods The study population consisted of 12 women aged 28–41 years who had stage 4 uterine prolapse and who were surgically treated by abdominal hysteropexy using autogenous rectus fascia strips. Operative results and postoperative follow‐up Pelvic Organ Prolapse Quantification and Prolapse Quality of Life results were recorded. Results Mean age of patients was 35.5 ± 4.1 years (range, 28–41). Mean parity in the study group was 2.6 ± 1.0 (range, 1–5). Mean operation time was 32.0 ± 5.2 min (range, 25–42). All patients were discharged on the postoperative 3rd day and no complications were observed postoperatively. Mean follow‐up period was 20 ± 7.0 months (range, 12–36). All of the patients had complete remission for uterine prolapse and none of the patients had complaints related to the operation. Conclusion Abdominal hysteropexy operation using rectus fascia strips provides a safe and alternative approach for the management of uterine prolapse in young women who desire to preserve their uterus. But further analysis is needed to confirm our results.

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“…Hysteropexy utilizes many techniques and approaches to restore uterine anatomy where uterine preservation is required [74]. Success rates are similar for all three approaches (open/laparoscopic/robot-assisted) varying from 87% -98% [75][76][77]. Successful pregnancies have been reported following laparoscopic hysteropexy however the long-term effects of pregnancy on the surgery are not fully appreciated yet [78].…”

Section: Urogynecology: Sacrocolpopexy and Hysteropexymentioning

confidence: 99%

Gynecological Surgery and the Robot

O’Sullivan¹,

O’Reilly²

2014

ENG

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As the only robotic device with FDA approval for gynecological surgery, the da Vinci ® Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.

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Laparoscopic sacral suture hysteropexy for uterine prolapse

Cited by 67 publications

References 11 publications

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

Alternative surgical approach for the management of uterine prolapse in young women: Preliminary results

Gynecological Surgery and the Robot

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