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International Urogynecology Journal

Published in:

01-09-2009 | Original Article

Implementation of laparoscopic sacrocolpopexy—a single centre’s experience

Authors: Filip Claerhout, Jan Paul Roovers, Paul Lewi, Jasper Verguts, Dirk De Ridder, Jan Deprest

Published in: International Urogynecology Journal | Issue 9/2009

Abstract

Introduction and hypothesis

The aim of this study was to describe the learning curve of a single surgeon to achieve the ability to perform a complication-free and anatomically successful laparoscopic sacrocolpopexy (LSC).

Methods

All patients, from the first LSC onwards (1996) were included. Outcome measures were operation time, number of laparotomies, complications and anatomical failures within 3 months. Learning curves were generated using moving average method (MOA) and cumulative sum (CUSUM) analysis to assess changes in respectively operation time and failures (laparotomy, complication or anatomical failure).

Results

Of the 206 patients, 83% were completed by laparoscopy. The intra-operative and major respectively minor post-operative complication rates were 2.4% (n = 5), 4.4% (n = 9) and 12.6% (n = 26). CUSUM analysis showed adequate learning after 60 cases. MOA showed that operation time declined rapidly during the first 30 procedures reaching a steady state (175 min) after 90 cases. Complications remained unchanged throughout the series.

Conclusions

LSC was associated with a low complication rate but a long learning curve.

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Title: Implementation of laparoscopic sacrocolpopexy—a single centre’s experience
Authors: Filip Claerhout
Jan Paul Roovers
Paul Lewi
Jasper Verguts
Dirk De Ridder
Jan Deprest
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0914-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Implementation of laparoscopic sacrocolpopexy—a single centre’s experience

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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