Top

Archives of Gynecology and Obstetrics

Published in:

01-09-2011 | General Gynecology

Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients

Authors: Carolin Banerjee, Karl Günter Noé

Published in: Archives of Gynecology and Obstetrics | Issue 3/2011

Abstract

Purpose

Obesity is a chronic disease which affects a substantial number of patients. It also increases a person’s risk of genital prolapse. Conventional techniques of prolapse repair (sacropexy, transvaginal meshes and sacrospinal fixation) are used in very adipose women, but the effectiveness of this technique is sometimes restricted due to the difficultly of performing the surgery.

Method

Here we will describe a new method of endoscopic prolapse surgery, which is especially developed for obese patients. The lateral parts of the iliopectineal ligament are used for a bilateral mesh fixation of the descended structures. We have already used this method successfully in 12 patients without any complications.

Result and conclusion

This method provides a stable and durable repair. The laparoscopic access reduces morbidity. The operation time for this procedure is approximately 50 min.

Nygaard IE, Mc Creery R, Brubaker L (2004) Abdominal colpopexy: a comprehensive review. Obstet Gynecol 104:805–823PubMedCrossRef

David-Montefiore E, Barranger E, Dubernard G et al (2007) Functional results and quality of life after bilateral sacrospinous ligament fixation for genital prolapse. Eur J Obstet Gynecol Reprod Biol 132:209–213PubMedCrossRef

Maher C, Baessler K, Glazener C et al (2004) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4:233–246

Beer M, Kuhn A (2005) Surgical techniques for vault prolapse: a review of the literature. Eur J Obstet Gynecol 119:144–155CrossRef

Rivoire C, Botchorishvili R, Canis M et al (2007) Complete laparoscopic treatment of genital prolapse with meshes including vaginal promontofixation and anterior repair: a series of 138 patients. J Min Invas Gynecol 14:712–718CrossRef

Banerjee C, Leufgen H, Hatzmann W, Noé G (2010) Complications, re-prolapse rate and functional results after laparoscopic sacropexy: a cohort study. Geb Fra 70:379–384CrossRef

Banerjee C, Sachse K, Hellmich M, Fanselau C, Banerjee M, Noé G (2010) Sexual impairment in women undergoing laparoscopic surgery for genital prolapse: a hospital-based cohort study. Urol Int. doi:10.1159/000316406

Gadonneix P, Ercoli A, Salet-Lizeé D (2004) Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse. J Am Assoc Gynecol Laparosc 11:26–35CrossRef

Irvine L, Shaw R (2003) The effects of patient obesity in gynaecological practice. Curr Opin Obstet Gynecol 13:179–184

10.

Miklos J, Kohli N (2000) Laparoscopic paravaginal repair plus burch colposuspension: review and descriptive technique. Urology 56:64–69PubMedCrossRef

11.

Cosson M, Boukerrou M, Lacaze S et al (2003) A study of pelvic ligament strength. Eur J Obstet Gynecol Reprod Biol 109(1):80–87PubMedCrossRef

12.

Heidenreich W (1997) Williams-Richardson vaginopexy. An abdominal suspension operation in prolapse and extensive vaginal descent. Zentralbl Gynakol 119(8):378–382PubMed

13.

Nassar GF (1967) Modified Williams-Richardson operation for uterine prolapse. Obstet Gynecol 30:233–237PubMed

14.

Williams G, Richardson A (1952) Transplantation of external oblique aponeurosis: an operation for prolapse of the vagina following hysterectomy. Am J Obstet Gynecol 64:552–558PubMed

15.

Jia X, Glazener C, Mowatt G, Jenkinson D, Fraser C, Bain C, Burr J (2010) Systematic review of the efficacy and safety of using mesh in surgery for uterine or vaginal vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct (in press)

Title: Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients
Authors: Carolin Banerjee
Karl Günter Noé
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 3/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1687-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients

Abstract

Purpose

Method

Result and conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Result and conclusion

Please log in to get access to this content

Other articles of this Issue 3/2011

Repeated medical abortions and the risk of preterm birth in the subsequent pregnancy

Cosmetic gynecology in the view of evidence-based medicine and ACOG recommendations: a review

Turkish obstetricians’ personal preference for mode of delivery and attitude toward cesarean delivery on maternal request

Co-involvement of psychological and neurological abnormalities in infertility with polycystic ovarian syndrome

Pilot study into the efficacy of foetal fibronectin testing in minimising hospital admissions in women presenting with symptoms of preterm labour: a randomised controlled trial of obstetric and neonatal outcomes

Female plastic and reconstructive surgeons’ personal decision making for breast cancer treatment and reconstruction