Laparoscopic Sacrocolpopexy as Vaginal Vault Prolapse  Treatment. Long - Term Outcomes

González, Javier Ernesto Barreras

doi:10.23880/oajg-16000s1-004

OAJG

2017

DOI: 10.23880/oajg-16000s1-004

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Laparoscopic Sacrocolpopexy as Vaginal Vault Prolapse Treatment. Long - Term Outcomes

Javier Ernesto Barreras González¹

Abstract: Context: Hysterectomies are one of the most common surgical procedures worldwide and post-hysterectomy vault prolapse ranges from 10 to 40%. Laparoscopic sacrocolpopexy has been considered the gold standard for the treatment of vaginal vault prolapse, with high success rates. Aim: To evaluate the feasibility, safety and long-term outcomes of laparoscopic sacrocolpopexy as vaginal vault prolapse treatment.

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2021

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Comparison of Laparoscopic and Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse Repair: Meta Analysis

Amani

Denas

Paraton

et al. 2021

MHSJ

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Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.

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Comparison of Laparoscopic and Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse Repair: Meta Analysis

Amani

Denas

Paraton

et al. 2021

MHSJ

View full text Add to dashboard Cite

show abstract

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Laparoscopic Sacrocolpopexy as Vaginal Vault Prolapse Treatment. Long - Term Outcomes

Cited by 1 publication

References 32 publications

Comparison of Laparoscopic and Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse Repair: Meta Analysis

Comparison of Laparoscopic and Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse Repair: Meta Analysis

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