Laparoscopic uterosacral uterine suspension: A minimally invasive technique for treating pelvic organ prolapse

Medina, Carlos A.; Takács, Péter

doi:10.1016/j.jmig.2006.04.009

Cited by 28 publications

(42 citation statements)

References 14 publications

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“…Uterine preservation is a suitable option in women with POP; however, long-term data are limited, and the need for subsequent hysterectomy is unknown [ 6 , 20 ]. Our large series demonstrated that the technique of LLS performed with or without hysterectomy is feasible and effective in an overweight population, with low postoperative complications within 1 year.…”

Section: Discussionmentioning

confidence: 99%

Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh

et al. 2018

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“…[ 14 ] Uterosacral ligament plication is also another uterine-sparing technique done laparoscopically where multiple sutures are used to shorten these ligaments, thereby restoring the normal position of the uterus. [ 15 ] Various transvaginal procedures exist to treat uterine prolapse, the oldest of which was the famous Manchester-Fothergill operation introduced in 1888. It consists of cervical amputation, colporrhaphy, and fixation of the cervical stump to the cardinal ligaments.…”

Section: Discussionmentioning

confidence: 99%

Transposition of cardinal ligaments for stages II–III uterine prolapse: A minimally invasive procedure

Ramadan

Badr

Saheb

et al. 2018

Gynecol Minim Invasive Ther

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Uterine and other pelvic organ prolapse (POP) are becoming more frequently encountered due to increased life expectancy among menopausal women. Traditionally, most surgical procedures included hysterectomy as an integral part of the management. POP might, however, though less commonly, affect women not willing to accept hysterectomy, especially young females who did not complete their family. For these patients, uterine prolapse could be managed by a number of uterine-sparing surgical procedures that are performed through either abdominal or vaginal route according to patient's condition, surgeon's choice, and skills. Most of these operations, however, are usually lengthy, invasive, need good experience, and sometimes special accessories and instruments. We performed anterior transposition of the cardinal ligaments on two patients with POP quantification Stages II-III uterine prolapse without amputating the cervix. Both patients were interviewed at 6, 12, and 18-month intervals and reported no undue pain or dyspareunia with complete satisfaction regarding self-assessment of gynecologic anatomy. Furthermore, examination by the lead author revealed satisfactory anatomic correction. We recommend this simple, easy, and minimally invasive vaginal procedure to fellow gynecologists for repair of mild degrees of uterine prolapse in women declining hysterectomy or amputation of the cervix.

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“…In a retrospective study, 23 patients with symptomatic uterine prolapse and the desire for uterine preservation underwent surgical repair with laparoscopic uterosacral uterine suspension. The POP‐Q scores for point C and D were significantly further away from the hymen after operation than compared with the preoperative values (−0.6 vs −7.8 and −5.0 vs −8.6; P < 0.01 respectively) . The USLS procedure is not demanding in terms of resources, and is comparable with the SSLF as only stitches, threads, and standard vaginal instruments have to be available.…”

Section: Management Of Apical Defectsmentioning

confidence: 99%

“…The POP-Q scores for point C and D were significantly further away from the hymen after operation than compared with the preoperative values (À0.6 vs À7.8 and À5.0 vs À8.6; P < 0.01 respectively). 60 The USLS procedure is not demanding in terms of resources, and is comparable with the SSLF as only stitches, threads, and standard vaginal instruments have to be available. Its cost effectivity, however, has not been a research topic.…”

Section: (B) Management Of Apical Prolapsementioning

confidence: 99%

Management of apical compartment prolapse (uterine and vault prolapse): A FIGO Working Group report

Betschart

Cervigni

Ortiz

et al. 2015

Neurourology and Urodynamics

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Vaginal procedures are well described procedures with favorable outcomes and cost-benefit profiles. Sacral colpopexy has a high-effectivity; data on the route of performance and long-term outcome are awaited. The cost with mesh implants are higher compared to the operations with autologous tissue or any conservative treatment and further studies are recommended to evaluate the cure rates in the span of decades and the possible long-term mesh complications. Neurourol. Urodynam. 36:507-513, 2017. © 2015 Wiley Periodicals, Inc.

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Laparoscopic uterosacral uterine suspension: A minimally invasive technique for treating pelvic organ prolapse

Cited by 28 publications

References 14 publications

Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh

Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh

Transposition of cardinal ligaments for stages II–III uterine prolapse: A minimally invasive procedure

Management of apical compartment prolapse (uterine and vault prolapse): A FIGO Working Group report

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