The Current Status of Laparoscopic Sacrocolpopexy: A Review

Ganatra, Anjali M.; Rozet, François; Sánchez-Salas, Rafael; Barret, Éric; Galiano, Marc; Cathelineau, Xavier; Vallancien, Guy

doi:10.1016/j.eururo.2009.01.048

Cited by 286 publications

(198 citation statements)

References 42 publications

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“…This slight difference of relapse might be explained by the learning curve of operators. Our results are similar to those found in literature: 4% in our team in 2002 and 6.2% for Ganatra [9,17].…”

Section: Discussionsupporting

confidence: 82%

“…The rate of laparotomy conversion decreased greatly from 12% to 0.6%. These rates are similar in literature (0-11%) as well as reasons for conversion (adhesions, difficult access to promontory and hypercapnia) [7,8,[16][17][18]. This may be due to better mastery and standardisation of techniques for surgeons but also anaesthetists and all the operating staff [5,6].…”

Section: Discussionsupporting

confidence: 70%

“…Our rate of early post-surgical complications decreased from 2.4% to 0.6%, but not in a significant way (p=0.25), similar to Ganatra's review who demonstrated an average rate of 1.6% [17]. There was a slight increase in re-interventions for prolapse relapse, without statistical significance (0-1.7%, NS).…”

Section: Discussionsupporting

confidence: 61%

“…Average surgery length was reduced from 213 to 191 min, slightly superior to literature data (average, 158 min; extremes, 96-286 min) [17]. However, it is difficult to determine precisely the surgical duration, as there are associated procedures.…”

Section: Discussionmentioning

confidence: 82%

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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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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 82%

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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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“…Ganatra et al (2009) recently reviewed the status of laparoscopic sacrocolpopexy and reported 11 retrospective series with 1,197 total patients over 54.3 study years that demonstrate an overall 94.4 % subjective satisfaction rate, 6.2 % prolapse reoperation rate, and a 2.7 % mesh exposure rate with a mean follow-up of 24.6 months (range 11.4-66 months). Furthermore, conversion rates, operative times, and complications have decreased with increased laparoscopy experience over the past 20 years [31].…”

Section: Laparoscopic Sacral Colpopexy/sacrocolpopexymentioning

confidence: 99%

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

Takase-Sanchez

Hale

2013

Curr Obstet Gynecol Rep

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Pelvic reconstructive surgery for pelvic organ prolapse includes transvaginal, open, laparoscopic, and roboticassisted approaches. Laparoscopy has established a significant role in minimally invasive surgery across surgical disciplines. In pelvic surgery, although the vaginal approach may offer the most native route to a minimally invasive technique, advances in gynecologic laparoscopy have reported advantages over traditional routes maintaining safety, efficacy, and high patient satisfaction. Majority of current data is limited to descriptive case series and retrospective data that nonetheless continue to support the laparoscopic approach as a reasonably safe alternative to open and vaginal approaches. Few prospective, clinical trials have compared the safety, efficacy, and costeffectiveness of various approaches and surgical techniques highlighting challenges in the utility of robotic-assistance and vaginal graft placement. This literature review provides a summary of important historical and current data in regards to surgical technique and clinical outcomes of advanced pelvic laparoscopy for pelvic organ prolapse.

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Robotic Urogynecology Procedures

O’Sullivan

O’Reilly

2016

Gynecologic and Obstetric Surgery

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The Current Status of Laparoscopic Sacrocolpopexy: A Review

Cited by 286 publications

References 42 publications

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

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

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

Robotic Urogynecology Procedures

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