Review: The laparoscopic approach to pelvic floor surgery

Manodoro, Stefano; Werbrouck, E.; Veldman, J.; Verguts, Jasper; Corona, Rodrigo Lozano; Aa, Frank Van der; Coremans, Georges; Ridder, D. De; Spelzini, Federico; Deprest, Jan

doi:10.4314/ogf.v21i2.66900

Cited by 3 publications

(4 citation statements)

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“…Only data from observational and in particular retrospective series seem to suggest a lower recurrence rate with LSC, though this procedure may be linked to potential intra-abdominal morbidities including sacral hemorrhage, bowel/ureter obstruction, and port site herniation [ 20 ]. Furthermore, the estimated learning curve requires almost 60 cases to complete the procedure by laparoscopy without any complications and with a good anatomical outcome in at least 90% of patients [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Vitale

Laganà

Noventa

et al. 2018

BioMed Research International

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Objective Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

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Section: Discussionmentioning

confidence: 99%

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Vitale

Laganà

Noventa

et al. 2018

BioMed Research International

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“…Several studies have described that traditional LSC should be considered a primary therapy for vaginal vault prolapse because they have cited improved visualization and magnification during the procedure as factors that may lead to better exposure of anatomy, more precise suture placement, and therefore reduced complications. Other advantages of LSC over ASC are: superior cosmetics, less pain, less probability of postoperative wound infection and incisional hernia formation [10,25].…”

Section: Discussionmentioning

confidence: 99%

“…Ameilen Hugier [9] presented a more detailed description of open sacrocolpopexy in 1957, and has been considered by most authors as the gold standard for the treatment of vaginal vault prolapse, with success rates reported between 70 and 100% [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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

González¹

2017

OAJG

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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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“…With the steady decrease in hysterectomy rate over the last few decades [1], we will be undoubtedly ask how to repair apical and multicompartment prolapse in young, sexually and physically active women with a uterus. Sacrocolpopexy (SCP) with subtotal hysterectomy (SH) has become a standard surgical treatment option during the last decade for correction of pelvic organ prolapse (POP) in women with a uterus [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy

et al. 2022

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(1) Background: Sacrocolpopexy (SCP) with subtotal hysterectomy (SH) is a standard procedure for the treatment of utero-vaginal prolapse. Several disadvantages are associated with the remaining cervix; therefor, SCP with total hysterectomy (TH) may be preferred. According to some publications, SCP with concomitant TH is associated with higher rates of mesh extrusion. Our hypothesis is that mesh extrusion at the apex can be avoided through prevention of thermal injury and through vaginal cuff suturing when performing the laparoscopic sacrocolpopexy combined with a laparoscopic-assisted vaginal total hysterectomy (LAVH). (2) Methods: This prospective cohort study was performed from 2016 until January 2019 including women with a utero-vaginal prolapse undergoing laparoscopic SCP with LAVH. The SCP was performed utilizing a non-absorbable polypropylene macroporous mesh (EndoGYNious®). The primary outcome was the mesh extrusion rate after SCP with concomitant LAVH. The secondary outcome was the objective and functional outcome. (3) There were 50 women included in this prospective cohort. At follow up of 6–12 weeks postoperatively, no mesh extrusion was detected and objectified. Overall, all women showed excellent anatomical and functional outcome. The median time from surgery was 42 months. (4) Laparoscopic SCP with concomitant LAVH showed no increased risk of mesh extrusion and good objective and functional outcomes.

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Review: The laparoscopic approach to pelvic floor surgery

Cited by 3 publications

References 0 publications

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

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

Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy

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