Laparoscopic versus open sacrocolpopexy for treatment of prolapse of the apical segment of the vagina: a systematic review and meta-analysis

Abstract

MISC showed similar anatomic results to OSC with a lower transfusion rate, shorter length of hospital stay and less blood loss. The rate of other complications was similar between the approaches. Cautious interpretation of results is advised due to risk of bias caused by the inclusion of nonrandomized studies.

Functional outcome after laparoscopic nerve‐sparing sacrocolpopexy: a prospective cohort study

“…Traditionally, the procedure has been performed as an open procedure. However, there is strong evidence that sacrocolpopexy can be performed successfully either laparoscopically or robotically assisted . One advantage of the minimally invasive approach is that fine structures such as vessels and nerves can be visualized and magnified with surgical loupes glasses.…”

Laparoscopic versus abdominal sacrocolpopexy for treatment of multi‐compartmental pelvic organ prolapse: A systematic review

“…Recently, laparoscopic sacrocolpopexy (LSC) has appeared thanks to the development of laparoscopic surgery . The therapeutic effect on apical vaginal prolapse and the incidence of recurrence or postoperative mesh exposure are considered equivalent between LSC and ASC . However, LSC is considered superior in terms of blood loss, length of hospital stay, and postoperative ileus risk .…”

“…The therapeutic effect on apical vaginal prolapse and the incidence of recurrence or postoperative mesh exposure are considered equivalent between LSC and ASC . However, LSC is considered superior in terms of blood loss, length of hospital stay, and postoperative ileus risk . Consequently, in recent years, LSC has replaced ASC as the new gold standard for treatment of POP, but there are some ongoing concerns.…”

Pelvic organ prolapse

“…41 42 Sacrocolpopexy is most often performed via laparoscopy with or without robotic assistance and is associated with lower blood loss and quicker recover than when performed via laparotomy. [43][44][45] Native tissue repairs and transvaginal commercial mesh devices ("mesh kits") support the vaginal apex with similar efficacy, but mesh is associated higher rates of complications. 42 46 Anterior pelvic organ prolapse…”