Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results

Noé, Karl G.; Spüntrup, Carolin; Anapolski, Michael

doi:10.1007/s00404-012-2536-7

Cited by 37 publications

(44 citation statements)

References 15 publications

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“…Older patients with concomitant diseases require the shortest and most effective surgical methods. The shortest operative times were reported by Noe et al mean 43.1 minute. for pectopexy and 52.1 minute.…”

Section: Discussionmentioning

confidence: 74%

“…On the basis of preoperative data, the following patients were most frequently referred for apical defect repair: POP‐Q ≥ II, postmenopausal, aged 50 to 60 years and BMI ≥ 25 kg/m 2 . The shortest laparoscopic procedure durations were 43.1 minute and 74.9 ± 34.05 minutes . (both for pectopexy); durations also depended on concomitant procedures: posterior and/or anterior defect repair and surgery for urinary incontinence.…”

Section: Resultsmentioning

confidence: 99%

“…44 Pectopexy is a good option for patients with preoperative constipation, as it does not involve narrowing of the pelvic outlet that may cause defecation disorders. 20,21,28,39,44 Pectopexy is a novel technique, whereas sacropexy has been studied extensively; therefore, follow-up times differ between these procedures and no long-term outcomes were reported. According to National Institute for Health and Care Excellence guidelines, pectopexy should only be used in a research setting because of the limited current evidence regarding its safety and efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Pectopexy (Figure 1), described in 2010, comprises symmetrical fixation of the descending organ to the iliopectineal ligaments using polyvinylidene fluoride monofilament mesh. 21 The area of fixation is 4 cm 2 , surrounded by external iliac vessels and obturator nerve. The part of the iliopectineal ligament at level S2 is an optimal anchor point for the physiological axis of the vagina.…”

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confidence: 99%

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

Szymczak

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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Aims Apical defect is a pelvic organ prolapse disorder, with 5%‐15% prevalence. The aim of the study was to investigate methods of laparoscopic repair of apical defect and compare them with other techniques (open, vaginal, and robotic). Methods A systematic search of the literature was conducted in MEDLINE/PubMed and ClinicalTrials.gov databases using the following key words: apical prolapse and treatment procedures. The search was limited by using the humans filters. Only articles published in English between 2010 and 2018 were considered. Two independent authors reviewed the publications for inclusion on the basis of the following criteria: (a) use of laparoscopic techniques, and (b) apical support loss as indication for surgery. Results A total of 1002 papers were initially identified; 24 studies fulfilled the inclusion criteria. Four main laparoscopic procedures were found. The reported anatomical success rate (POP‐Q < II stage) was 77%‐100%, with patient satisfaction for pectopexy, laparoscopic sacropexy (LS), lateral ligament suspension and laparoscopic uterosacral ligament suspension (LUSLS) of 96.4%‐97.6%, 71.0%‐100%, 66.7%‐87.8%, and 95%‐95.5%, respectively. Major complications included hemorrhage, bladder, ureter, and/or bowel injuries were rare. Prolapse recurrences after LUSLS and LS were reported in 13.2% and 10.4% of patients, respectively; with reoperation rate for LS 2.2%‐12.8%. Conclusions Most studies reported anatomical and subjective outcomes, with follow‐up ranging from 1 month to >7 years. Success rates for laparoscopic and abdominal corrections of apical defect were similar; laparoscopy was superior in terms of perioperative blood loss, length of hospital stay, and recovery.

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Section: Discussionmentioning

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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

Szymczak

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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“…In comparison with the sacropexy, the technique is easy to learn and has a shorter operative time with the same positive results. 35 No preoperative bowel preparation is necessary, and the technique can be combined with all other laparoscopic procedures. Antibiotic prophylaxis with 1.5 g of cefuroxime and 0.5 g of metronidazole intravenously is accepted as the standard technique ( Figure 10 ).…”

Section: New Methods Of Pectopexy To Correct Pre-existing Descensusmentioning

confidence: 99%

Laparoscopic Hysterectomy and Prolapse: A Multiprocedural Concept

Alkatout

Mettler

Peters

et al. 2014

JSLS

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Efficacy of minimally invasive pectopexy with concomitant I‐stop‐mini sling for women with pelvic organ prolapse and overt stress urinary incontinence: A retrospective cohort study

Chao

Liu

Yang

et al. 2023

Intl J Gynecology & Obste

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Objective To compare the efficacy of minimally invasive pectopexy with I‐stop‐mini (MPI) and minimally invasive sacrocolpopexy with Obtryx (MSO). Methods Women with pelvic organ prolapse quantification (POP‐Q) stage III or more and overt stress urinary incontinence from May 2018 to May 2021 were included. Patients with meshes fixed on the cervix or vaginal vault and bilateral pectineal ligament with I‐stop‐mini were classified into the MPI group, while those fixed on the apex and sacral promontory with Obtryx were classified into the MSO group. The primary outcomes were 1‐year‐postoperative POP‐Q stage, patient‐reported urinary and prolapse outcomes (Urogenital Distress Inventory‐6, International Consultation on Incontinence Questionnaire‐Short Form, and Pelvic Organ Prolapse Distress Inventory‐6), 1‐h pad test, and sexual life quality (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire). Secondary outcomes included operative data and adverse events. Results The efficacy of MPI was similar to that of MSO according to the primary outcomes. MPI had shorter operative times (133.4 ± 30.6 min versus 199.3 ± 20.9 min, P = 0.001) and lower incidence rate of abdominal pain (0% vs 20%, P = 0.02) and groin pain (8% vs 40%, P = 0.01) than MSO. Conclusions MPI showed similar efficacy to MSO, but demonstrated shorter operative times and lower incidence rates of abdominal and groin pain.

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Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results

Abstract: Although laparoscopic pectopexy cannot yet be generally recommended as an alternative to sacropexy until the follow-up data is obtained, the new method can be considered in patients where the presacral preparation bears a higher risk of injury.

Cited by 37 publications

References 15 publications

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

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

Laparoscopic Hysterectomy and Prolapse: A Multiprocedural Concept

Efficacy of minimally invasive pectopexy with concomitant I‐stop‐mini sling for women with pelvic organ prolapse and overt stress urinary incontinence: A retrospective cohort study

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