Correction of pelvic organ prolapse by laparoscopic lateral suspension with mesh: A clinical series

• Published in: European journal of obstetrics & gynecology and reproductive biology 2019-09, Vol.240, p.351-356
• Main Authors: Martinello, Ruby, Scutiero, Gennaro, Stuto, Angelo, Indraccolo, Ugo, Cracco, Francesco, Borghi, Chiara, Sorrentino, Felice, Nappi, Luigi, Greco, Pantaleo
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Female; Gynecologic Surgical Procedures - methods; Humans; Laparoscopic lateral suspension; Laparoscopy - methods; Mesh; Middle Aged; Patient Satisfaction; Pelvic organ prolapse; Pelvic Organ Prolapse - surgery; Retrospective Studies; Surgical Mesh; Surgical treatment; Treatment Outcome
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2019.07.025

Illustrating the outcomes of laparoscopic lateral suspension by mesh for pelvic organ prolapse repair. A retrospective observational study was conducted collecting medical records of 48 patients treated between May 2016 and April 2018 in two different centers in Italy. Pre- and post-operative clinical evaluations as well as patients’ satisfaction scores were considered. Patients were followed for two years. Statistical analysis was determined using the chi-square test in intention-to-treat and per-protocol analyses, while Kaplan-Meier curves were built for assessing the prolapse recurrence and the symptoms recurrence. The Steel-Dwass test for pairwise comparisons was used to compare median scores from the King's General Health Perception Questionnaire answers. Regarding the anatomical result, the outcome was either optimal or satisfactory (PoP-Q ≤1) at 12 months in 92% of patients for anterior compartment, in 100% for apical compartment, and in 75% for posterior compartment (intention-to-treat). Kaplan-Meier curves depicted a repair of prolapse in 70% of cases, with better outcomes for the anterior and the apical compartment. Patient self-perception of health was over 80% at each follow-up evaluation. Laparoscopic lateral suspension is a reasonable technique for treatment of pelvic organ prolapse. Further studies are needed to prove such a technique versus alternative surgeries.