Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients

Abstract

This method provides a stable and durable repair. The laparoscopic access reduces morbidity. The operation time for this procedure is approximately 50 min.

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

“…Biler et al, in the study about abdominal sacropexy, LS and pectopexy, found no occurrences of de novo apical prolapse at 6 months follow‐up. In studies regarding pectopexy, we found one (2.3%) relapse of apical prolapse after pectopexy reported by Noe after 21.8 months of follow‐up and none in the initial study by Banerjee . In the LLS technique group, objective cure rates at the 1‐year follow‐up were 91.6% for the anterior, 93.6% for the apical, and 85.3% for the posterior compartment …”

“…In studies regarding pectopexy, we found one (2.3%) relapse of apical prolapse after pectopexy reported by Noe 22 after 21.8 months of follow-up and none in the initial study by Banerjee. 44 In the LLS technique group, objective cure rates at the 1-year follow-up were 91.6% for the anterior, 93.6% for the apical, and 85.3% for the posterior compartment. 25 Biler et al, 28 reported the following procedures concomitantly performed in the pectopexy group (n = 28): 2 anterior and 3 posterior colporrhaphies, and in the LS group (n = 14): 1 anterior and 3 posterior colporrhaphies, 11 culdoplasties and 1 Burch colposuspension.…”

“…In eight studies regarding sacropexy and pectopexy, no cases of mesh exposure or extrusion were found. 28,29,33,[40][41][42][43][44][45] In LS, the rates of mesh erosion were as follows: 1.25%, 36 1.7%, 46 2%, 30 2.7%, 38 and 3.2%. 39 The highest levels of mesh erosion were reported for LLS: 2%, 30 3.8%, 47 4.3%, 25 5.5%.…”

Morbidity in elderly women undergoing gynaecological pelvic floor surgery

“…Recently published studies retrospectively evaluated the outcome of laparoscopic sacropexy in non-geriatric populations [43,44]. In contrast to the vaginal sacrospinous colpopexy, this technique requires the insertion of synthetic mesh materials, which is associated with the risks of mesh erosion or infection and therefore might bear an avoidable complication especially in multimorbid elderly patients [45].…”

Laparoscopic Hysterectomy and Prolapse: A Multiprocedural Concept

“…The NPP was developed in 2007, particularly for those cases in which it is difficult to reach the os sacrum. 32 …”