Laparoscopic lateral suspension for pelvic organ prolapse: A systematic literature review

Campagna, Giuseppe; Vacca, Lorenzo; Panico, Giovanni; Caramazza, Daniela; Lombisani, Andrea; Scambia, Giovanni; Ercoli, Alfredo

doi:10.1016/j.ejogrb.2021.07.044

Cited by 18 publications

(15 citation statements)

References 28 publications

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“…Martinello et al reported success rates of 100% for the apical compartment, 92% for the anterior compartment, and over 80% for the patient's self-perception of their own health, in a retrospective study of 48 patients followed at 12 months ( 22 ). Campagna et al reported an overall anatomical success rate of over 90% in the apical compartment and more than 88% in the anterior compartment in a systematic review of 1,066 operations on LLS ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

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Postoperative results of laparoscopic lateral suspension operation: A clinical trials study

Aksin

Andan²

2023

Front. Surg.

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BackgroundPelvic organ prolapse surgery carries potential risks, and Laparoscopic lateral suspension (LLS) surgery is being performed in increasing numbers with advances in minimally invasive surgery. Our study aims to report the postoperative results of LLS operations.Patients and Methods41 patients at POP Q stage 2 and above underwent LLS operations in a tertiary center between 2017 and 2019. Postoperative patients 12 (12–37) months and older were evaluated in terms of anterior and apical compartments.ResultsIn our study, laparoscopic lateral suspension (LLS) was applied to 41 patients. The mean age of all patients was 51.45 ± 11.51, and the operation time was 71.13 ± 18.70 min, The mean hospital stay was 1.35 ± 0.4 days. The apical compartment success rate was 78% and the anterior compartment success rate was 73%. In terms of patient satisfaction, 32 (78.1%) patients were satisfied, While 37 (90.1%) patients did not have abdominal mesh pain, 4 (9.9%) patients had mesh pain. Dyspareunia was not observed.ConclusionsLaparoscopic lateral suspension in pop surgery; Considering the success rate below expectation, some patient groups can be applied as an alternative surgical method.

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Section: Discussionmentioning

confidence: 99%

“…Reaching the mesh arms with the subperitoneal from the modified port site of the laparoscopic portegu. compartment and more than 88% in the anterior compartment in a systematic review of operations on LLS (23).…”

Section: Figurementioning

confidence: 99%

Postoperative results of laparoscopic lateral suspension operation: A clinical trials study

Aksin

Andan²

2023

Front. Surg.

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“…Alternative surgeries such as pectopexy or lateral ligament suspension were not evaluated in this study because they were not performed in the first line in our center. According to Campagna et al’s literature review, minimally invasive lateral suspension was safe (1% of grade ≥ 3 complications according to the Clavien–Dindo classification), efficient (90% of anatomic success in the apical compartment) and feasible [ 17 ]. However, there is a lack of well-designed, randomized, controlled trials assessing these techniques in the literature for POP repair, especially in young women.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women

Lallemant

Clermont-Hama

Giraudet

et al. 2022

JCM

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The aim of the study was to describe the long-term outcomes of Pelvis Organ Prolapse (POP) repair in women under 40 years old. A retrospective chart review of all POP repairs performed in women ≤40 years old between January 1997 and December 2015 in the Gynecologic Surgery Department of Lille University Hospital was performed. Inclusion criteria were all women ≤40 years old who underwent a POP repair with a stage ≥2 POP according to the Baden and Walker classification. The study population was separated into three groups: a sacrohysteropexy group, a vaginal native tissue repair (NTR) group, and a transvaginal mesh surgery (VMS) group. The primary outcome was reoperation procedures for a symptomatic recurrent POP. Secondary outcomes were other complications. During the study period, 43 women ≤ 40 years old who underwent a POP repair were included and separated into three groups: 28 patients (68%), 8 patients (19%), and 7 patients (16%) in the sacrohysteropexy, VMS, and NTR groups respectively. The mean followup time was 83 ± 52 months. POP recurrence, reoperated or not, was essentially diagnosed in the VMS group (87.5%) and the NTR group (50%). POP recurrence repairs were performed for nine patients (21%): 7%, 62.5%, and 25% in the sacrohysteropexy, VMS, and NTR groups, respectively. Global reoperation concerned 10 patients (23%) whatever the type of POP surgery, mainly patients from the VMS group (75%) and from the NTR group (25%). It occurred in only 7% of patients from the sacrohysteropexy group. Two patients (4%) presented a vaginal exposure of the mesh (in the VMS group). De novo stress urinary incontinence was encountered by nine patients (21%): 29% and 12.5% in the sacrohysteropexy and NTR groups, respectively. Despite the risk of recurrence, POP repair should be proposed to young women in order to restore their quality of life. Vaginal native tissue repair or sacrohysteropexy should be performed after explaining to women the advantages and disadvantages of each procedure.

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“…The latter technique is specifically indicated when urogenital prolapse is associated with apical compartment prolapse. Notewithstanding, key-hole surgery has the advantage of short hospital stays, usually in the range of two or three days [6][7][8][9][10]. However, we must not forget the importance of behavioral and rehabilitation therapy, nor that of oral medications or intravesical therapy such as Botulinum toxin injection for the treatment of overactive bladder incontinence [5].…”

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confidence: 99%