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International Urogynecology Journal

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01-12-2014 | Original Article

Laparoscopic uterosacral ligament suspension and sacral colpopexy: results and complications

Authors: Gilad A. Filmar, Hilaire W. Fisher, Enrique Aranda, Peter M. Lotze

Published in: International Urogynecology Journal | Issue 12/2014

Abstract

Introduction and hypothesis

We describe our techniques, outcomes, and complications with laparoscopic procedures for correcting pelvic organ prolapse (POP). We hypothesized that laparoscopic abdominal sacrocolpopexy (ASC) gives better anatomic results than laparoscopic uterosacral ligament suspension (USLS), without increased complications.

Methods

This was a retrospective cohort study of 290 patients who underwent laparoscopic suspensions in a 2-year period. Anatomic measurements using the Pelvic Organ Prolapse Quantification (POP-Q) system were collected. Subjective data were obtained from the Pelvic Floor Distress Inventory Short-Form 20 (PFDI) questionnaire. The anatomic improvement for each stage and complication rates were analyzed. The difference in the risk of mesh erosion between patients undergoing concomitant total hysterectomy and those who had a prior hysterectomy was determined. In 102 patients with stage 2 prolapse, a comparison between ASC and USLS in anatomic and subjective results and complication rates was performed.

Results

Anatomic success rates ranged between 86 % and 95 %. Overall mesh erosion rate was 1.2 %, showing no difference between concomitant total laparoscopic hysterectomy (0 %) and prior hysterectomy (2.1 %, p = 0.155). ASC resulted in statistically significantly better anterior-compartment support than USLS (p = 0.043). There was no difference in apex or posterior compartment position or in PFDI scores.

Conclusion

Laparoscopic ASC may be better than USLS for correcting anterior-compartment prolapse, with only a minor risk of mesh erosion.

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Title: Laparoscopic uterosacral ligament suspension and sacral colpopexy: results and complications
Authors: Gilad A. Filmar
Hilaire W. Fisher
Enrique Aranda
Peter M. Lotze
Publication date: 01-12-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 12/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2407-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic uterosacral ligament suspension and sacral colpopexy: results and complications

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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