Long-term results of abdominal sacrocolpopexy

Hilger, Wesley S.; Poulson, Marilee; Norton, Peggy

doi:10.1016/j.ajog.2003.10.689

Cited by 73 publications

(29 citation statements)

References 15 publications

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“…It has been estimated that the lifetime risk of surgery for prolapse or stress incontinence is 11%, with a third of patients requiring a repeat operation in 4 years [1,2]. Abdominal sacrocolpopexy (ASCP) with mesh interposition is one of the most effective surgical procedures for treating pelvic organ prolapse and has been shown to have one of the highest long-term success rates for vaginal vault prolapse [3][4][5][6][7][8][9][10]. However, it is associated with considerable morbidity secondary to the need for laparotomy, making some patients unsuitable for the procedure.…”

mentioning

confidence: 99%

Robotic-assisted sacrocolpopexy: technique and learning curve

et al. 2009

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confidence: 99%

Robotic-assisted sacrocolpopexy: technique and learning curve

et al. 2009

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“…In the study by Hilger et al the follow up most defects were noted in the anterior wall [12]. However in other studies [16][17][18][19] anatomical recurrence was confined to posterior compartment.…”

Section: Discussionmentioning

confidence: 85%

“…Several studies have been done looking at short, medium and long term anatomical outcome of SCP and have quoted high success rates of 95% at 3 years or less 84% at 5 years and 74.7% at 13.5 years [6][7][8][9][10][11][12][13]. Studies have also shown that LSCP has high [14,15] and similar success rates to OSCP [5].…”

Section: Discussionmentioning

confidence: 99%

Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Hawthorn¹

2013

Med Surg Urol

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In this study we evaluate the outcome, complications and need for repeat surgery after Sacrocolpopexy (SCP) over the last 10 years. 49 (66%) case notes were reviewed. 28 (57%) patients SCP. The remainder had concomitant pelvic floor and / or incontinence procedures.12 patients had laparoscopic SCP and 37 were performed by open technique. 8(16%) patients' required further surgery either for new prolapse or recurrent prolapse.The short term success with sacrocolpopexy was high (97.9%) with the rate being maintained with medium term (100%) and long term (91.66%) follow up. Rates of complication, especially mesh exposure, was very low in our study. This suggests maintaining the integrity of vaginal vault during SCP might be a key factor in reducing the incidence of mesh exposure with SCP.However large numbers in long term follow up is needed to make any definite conclusion. Sacrocolpopexy (SCP) -A cohort study looking at short, medium and long term outcome.

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“…Most experience of biomaterial implants in urogynecologic surgery is found in the fields of urinary incontinence surgery and vaginal vault suspension procedures in which numerous biomaterials have been used (33)(34)(35). Studies on mechanical properties such as elasticity, pore size, durability, and tensile strength may indicate suitability for use in pelvic reconstructive surgery, although they do not provide explicit information on in vivo biocompatibility (36)(37)(38)(39).…”

Section: Biomaterials In Urogynecologic Surgerymentioning

confidence: 98%