Medium-term outcomes of laparoscopic sacrocolpopexy or sacrohysteropexy versus vaginal sacrospinous ligament fixation for middle compartment prolapse

Chen, Yisong; Hua, Keqin

doi:10.1002/ijgo.12097

Cited by 22 publications

(26 citation statements)

References 24 publications

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“…In the case of VPP the two most accepted techniques for surgical correction are LSC and vaginal SF [ 7 ]. As mentioned before, no randomized trials have been published, investigating the superiority of one of the two approaches [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, the estimated learning curve for SF required only 20 cases to complete the procedure with a favorable anatomical outcome [ 5 , 6 , 22 ]. However, even if each patient's long-term satisfaction, low morbidity rate, and acceptable cost-effectiveness should be considered the most important variables in the choice of surgery for VPP correction, data regarding these topics are still too scarce to draw any significant conclusion [ 4 , 7 ]. This is even more remarkable in the case of a second recurrence of VPP.…”

Section: Discussionmentioning

confidence: 99%

“…In case of second recurrence VPP data are even more contrasting, and there is no consensus regarding the ideal surgical procedure [ 6 ]. On one hand, there is little information regarding long-term general quality of life (QoL) and sexual function in patients with primary VPP treated by LSC or SF [ 4 , 7 ], and on the other there are no data available concerning the treatment of second recurrence. Sexual wellbeing is an important aspect of women's health; therefore, sexual disorders can decrease the QoL.…”

Section: Introductionmentioning

confidence: 99%

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Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Vitale

Laganà

Noventa

et al. 2018

BioMed Research International

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Objective Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Vitale

Laganà

Noventa

et al. 2018

BioMed Research International

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“…David-Monte ore et al observed the medium-term and long-term surgical effects in 51 patients, with an average follow-up time of 23.8 ± 8 months; 94.3% of patients had no objective recurrence [16]. Chen et al analyzed the surgical effect among 94 cases of VSSLF 1 year after the operation, where apical compartment success rate was 94.7%, and recurrence of anterior/ posterior prolapse was 16% [17]. We assume that the success rate of postoperative anatomical reduction is related to the following factors: 1.…”

Section: Sacrospinous Ligament Xation (Sslf)mentioning

confidence: 99%

Medium-Term Outcomes of Laparoscopic Pubocervical Fascia Reconstruction and Sacrospinous Ligament Fixation for Pelvic Organ Prolapse

Zhu¹,

Xiao²,

Chen³

et al. 2020

Preprint

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Background: The aim of this study was to investigate the medium-term outcomes of laparoscopic pubocervical fascia reconstruction and sacrospinous ligament fixation with a posterior approach for severe pelvic organ prolapse (POP). Methods: A total of 129 patients with severe POP quantitation stage III-IV who underwent laparoscopic pubocervical fascia reconstruction and sacrospinous ligament fixation with a posterior approach at Sir Run Run Shaw Hospital College of Medicine, Zhejiang University, Hangzhou, China between September 2014 and December 2018 were enrolled in this study. One hundred twenty-four patients were followed up for at least 1 year. The results and complications were recorded. Data were retrospectively reviewed. Results: All the patients underwent laparoscopic pubocervical fascia reconstruction and sacrospinous ligament fixation with a posterior approach. The average follow-up time was 32.27±12.90 months. The objective cure rate for those who underwent hysterectomy was 91.7 % (100/109), and no patient experienced apical vaginal prolapse. The objective cure rate for those who retained uterus was 66.67% (10/15). Suture-related complications were recorded.Conclusions: Laparoscopic pubocervical fascia reconstruction and sacrospinous ligament fixation with the posterior approach is a safe, minimally invasive, and effective method for patients with severe POP. Long-term follow-up is required to confirm the clinical effects.

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“…Daher kann bei primären Defektkorrekturen des hinteren Kompartiments die routinemäßige Anwendung von synthetischen Netzen nicht empfohlen werden [12,19]. In direkten Vergleichsstudien mit der laparoskopischen Sakrokolpopexie zeigen sich ähnliche Erfolgsraten [22]. Trotz längerer Operations-und Krankenhausaufenthaltsdauer gilt die Sakrokolpopexie als Therapie der Wahl für Defekte des mittleren Kompartiments.…”

Section: B) Vaginale Netzinterpositionunclassified

Chirurgische Therapie des urogenitalen Deszensus

et al. 2018

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Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future. The incidence of recurrent pelvic floor prolapse is also growing. The goal of surgical management is the restoration of pelvic anatomy and bladder, vaginal and bowel function, resolution of patient symptoms and improvement in quality of life. The objective of this review is to present the main surgical procedures for different subtypes of genital prolapse and to evaluate their outcomes and complications. During the last ten years, technologies for the minimally invasive approach have advanced and robotic assisted sacrocolpopexy is now equivalent to classical vaginal and transabdominal procedures.

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Medium-term outcomes of laparoscopic sacrocolpopexy or sacrohysteropexy versus vaginal sacrospinous ligament fixation for middle compartment prolapse

Abstract: Although LSC/LSH achieved longer TVL, both groups achieved the same success rate and improvement in quality of life. Specifically, VSSLF yielded a significant improvement in bowel and urinary function.

Cited by 22 publications

References 24 publications

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

Medium-Term Outcomes of Laparoscopic Pubocervical Fascia Reconstruction and Sacrospinous Ligament Fixation for Pelvic Organ Prolapse

Chirurgische Therapie des urogenitalen Deszensus

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