Simplified laparoscopic sacropexy avoiding deep vaginal dissection

• Published in: International journal of gynecology and obstetrics 2018-11, Vol.143 (2), p.239-245
• Main Authors: Cosma, Stefano, Petruzzelli, Paolo, Chiadò Fiorio Tin, Michela, Parisi, Silvia, Olearo, Elena, Fassio, Federica, Zizzo, Roberto, Danese, Saverio, Benedetto, Chiara
• Format: Article
• Language: English
• Subjects: Adult; Aged; Female; Humans; Laparoscopic colposacropexy; Laparoscopic sacral colpopexy; Laparoscopic sacrocolpopexy; Laparoscopic sacropexy; Laparoscopy - methods; Levator ani muscle; Middle Aged; Operative Time; Pelvic organ prolapse; Promontofixation; Quality of Life; Retrospective Studies; Surgical Mesh; Uterine Prolapse - classification; Uterine Prolapse - surgery; Vagina - surgery; Vaginal vault prolapse
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1002/ijgo.12632

Objective To evaluate the safety and efficacy of a “simplified” laparoscopic sacropexy approach. Methods Data were retrospectively assessed from women with apical prolapse of stage 2 or higher who underwent “simplified” laparoscopic sacropexy between October 1, 2010, and May 31, 2017 at the St Anna Hospital, City of Health and Science, Torino, Italy. Patients were treated with the “simplified” laparoscopic sacropexy, where meshes were anchored solely to the vaginal apex, even in the presence of advanced multi‐compartment vaginal prolapse. Data on prolapse stage and urogenital functions collected through clinical examinations, and questionnaires at baseline, 6 months, 12 months, and annually thereafter were examined. Results Overall, 121 women were included in the analysis; the mean follow‐up was 33.2 months. Mean operative time was 135.1 minutes; there were no intraoperative visceral or vascular injuries. There was 1 (0.8%) patient who experienced recurrence, and 2 (1.7%) who experienced vaginal erosion. Both urogenital symptom scores (all P