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International Urogynecology Journal

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Open Access 01-02-2022 | Laparoscopy | Original Article

Laparoscopic lateral suspension for anterior and apical prolapse: a prospective cohort with standardized technique

Authors: Kyriaki Chatziioannidou, Nikolaus Veit-Rubin, Patrick Dällenbach

Published in: International Urogynecology Journal | Issue 2/2022

Abstract

Introduction and hypothesis

Laparoscopic lateral suspension (LLS) for anterior and apical pelvic organ prolapse (POP) repair is a recent approach. Previous studies used various meshes or sutures. The purpose of this study was to evaluate outcomes of a standardized LLS technique.

Methods

From January 2010 until December 2014, we performed POP repair by LLS with mesh on 88 women with anterior and apical POP ≥ stage 2. We used a polypropylene titanized mesh fixed to the vesico-vaginal fascia with absorbable sutures and treated posterior compartment defect by vaginal approach with native tissue repair if required. Between July 2013 and December 2018, all women were assessed by gynecological examination including the pelvic organ prolapse quantification (POP-Q) system. Subjective outcome was evaluated by the patient global impression of improvement (PGI-I) questionnaire.

Results

Seventy-nine women (89.8%) were available for follow-up. The mean duration of follow-up was 3.4 years (SD 1.6). Mean age was 59.6 (SD 11.1) years and mean BMI 25.8 (SD 4.0) kg/m². Ten patients (12.7%) had previous POP surgery. Fifty-two women (65.8%) required posterior colporraphy for associated posterior defect and 21 (26.6%) had associated urinary incontinence (UI) surgery. There were no perioperative complications. The objective cure rate (no prolapse beyond the hymen and no reoperation for POP recurrence) was 87.3%. The reoperation rate for recurrence was 5.1%. The subjective success rate (PGI ≤ 2) was 96.2%. There were no mesh exposures or extrusions.

Conclusions

This standardized LLS is safe and effective with no mesh complications after 3-year follow-up.

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Title: Laparoscopic lateral suspension for anterior and apical prolapse: a prospective cohort with standardized technique
Authors: Kyriaki Chatziioannidou
Nikolaus Veit-Rubin
Patrick Dällenbach
Publication date: 01-02-2022
Publisher: Springer International Publishing
Keywords: Laparoscopy
Stress Incontinence
Uterine Prolapse
Urinary Incontinence
Sacrocolpopexy
Urinary Incontinence
Published in: International Urogynecology Journal / Issue 2/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-021-04784-0

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Laparoscopic lateral suspension for anterior and apical prolapse: a prospective cohort with standardized technique

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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