Laparoscopic Sacrohysteropexy in a Woman at 12 Weeks' Gestation

Management of pelvic organ prolapse during pregnancy: Case report

“…Surgical treatment has also been described, indicated when conservative treatment fails or the pelvic floor cannot be restored to its normal condition. However, it is not indicated as a first-line treatment because of the surgical and anesthetic risk as well as potential deleterious effects on pregnancy ( 15 , 16 ). Laparoscopic surgical treatment has been described in the first trimester ( [15] , [16] , [17] ) or at the time of cesarean section ( 18 , 19 ).…”

“…However, it is not indicated as a first-line treatment because of the surgical and anesthetic risk as well as potential deleterious effects on pregnancy ( 15 , 16 ). Laparoscopic surgical treatment has been described in the first trimester ( [15] , [16] , [17] ) or at the time of cesarean section ( 18 , 19 ).…”

Uso de pesario para prolapso de órganos pélvicos durante el embarazo: serie de casos y revisión de la literatura

“…No hay guías de manejo para prolapso en pacientes embrazadas por lo que el tratamiento debe ser individualizado según las necesidades de la paciente, estadio de la gestación y gravedad del prolapso 18 . Los pesarios pueden ser una excelente alternativa en estas pacientes que no pueden ser llevadas a cirugía y se reportó en la literatura por primera vez en 1949 por Klawans 20,21 . Asimismo, en el momento del parto se puede recomendar cesárea electiva en caso de edema de cérvix producido por el pesario y en mujeres con paridad satisfecha, se puede plantear la posibilidad de cesárea con histerectomía y colposacropexia abdominal concomitante 19,22 .…”

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“…In addition, the long-term consequences are unknown [12]. There are a few case reports about Laparascopic Sacrohysterteropexy or Promontohysteropexy performed at first trimestr of pregnancy [12][13][14][15].…”