Laparoscopic Versus Abdominal Sacrocolpopexy: A Randomized, Controlled Trial

Abstract

Laparoscopic sacrocolpopexy provides outcomes as good as those of abdominal sacrocolpopexy for anatomical correction but not for anterior pelvic organ prolapse.

Commentary on: Laparoscopic sacrocolpopexy compared with open abdominal sacrocolpopexy for vault prolapse repair: a randomised controlled trial

“…Most previous studies have found that the laparoscopic and open approaches have similar anatomical outcomes but that the laparoscopic approach has the advantages of less blood loss and shorter hospital stay [1][2][3][4]. However, one recently published RCT found that the open approach has an anatomical advantage in the anterior compartment at 3 years [5]. The primary outcome in the present study was disease-specific quality of life measured using the Urinary Distress Inventory (UDI) at 12 months.…”

Comparison between Laparoscopic High Uterosacralligament Suspension and Laparoscopic Sacrocolpopexy: A Retrospective Study

“…Abdominal Sacral colpopexy (ASC) has a reputation for being the cornerstone in repairing the vault prolapse [7], furthermore, it has an important place in restoring the multicompartment pelvic organs herniation [7], and the recurrence protruded organs. The laparoscopic approach has highlighted the increasing benefit of this procedure by magnification and minimal invasion [7].…”

“…The laparoscopic approach has highlighted the increasing benefit of this procedure by magnification and minimal invasion [7]. Studies conducted to compare the laparotomic and the laparoscopic sacrocolpopexy(LSC) concluded that the surgery outcomes were similar with some limitation for both sides.…”

“…Studies conducted to compare the laparotomic and the laparoscopic sacrocolpopexy(LSC) concluded that the surgery outcomes were similar with some limitation for both sides. The laparotomic surgery's and hospitalization time was higher than the laparoscopic approach [7,8]. The Laparoscopic technique, however, minimizes these issues.…”

“…The Laparoscopic technique, however, minimizes these issues. Moreover, the manipulation of the gut is less [7]. Nevertheless, the LSC requires an experience [8].…”