Modified laparoscopic extraperitoneal uterine suspension to anterior abdominal wall: the easier way to treat uterine prolapse

Chen, Gang; Wu, Dexiang; Zhang, Weidong; Hu, Weigang; Li, Jia; Ling, Bin

doi:10.1007/s00192-012-1661-y

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…Treatment based less on mesh is still under much debate and remains a challenge to gynecologists. To reduce mesh‐based complications, we describe a laparoscopic extraperitoneal linear uterine suspension for POP, which is derived from extraperitoneal uterine suspension with mesh we introduced in 2010 and 2012 …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh

Liang

Chen

Deng

et al. 2017

BJOG

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Objective To compare the safety and effectiveness of two different materials (mesh and suture line) used in laparoscopic extraperitoneal uterine suspension.Design A retrospective observational study.Setting Gynaecology departments in two hospitals in China.Population Women with symptomatic pelvic organ prolapse (POP) of stage II or higher.Methods The women were divided into two groups according to the two different materials for laparoscopic extraperitoneal uterine suspension: mesh or suture line. The baseline characteristics, perioperative details, complications, objective and subjective indexes of the two groups were compared.Main outcome measures The primary outcome was subjective satisfaction rate based upon validated questionnaires. The secondary outcome was objective anatomic assessment with the POP-Q system.Results No difference was found in baseline characteristics and perioperative details except that there were more cases of cardiovascular disease (CVD) and associated other surgeries in the Line than the Mesh group (36 versus 19, P < 0.05; 12 versus 2, P < 0.05). Statistically significant improvements were found in anatomical measures of points Aa, Ba, Ap, Bp, C and TVL (P < 0.01), as well as functional and quality-of-life measures (P < 0.01 for PFDI-20 and PFIQ-7) between both groups. The postoperative PFDI-20, PFIQ-7 and PGI-I scores were not different between two groups (P > 0.05). Two cases of deep wound infection were observed in Mesh group at 3-month follow up.Conclusions Laparoscopic extraperitoneal linear uterine suspension is easy to perform and is associated with fewer meshrelated complications. It is more secure, especially in elderly women and in those with physical complications.Keywords Laparoscopic, mesh, uterine prolapse, uterine suspension.Tweetable abstract Laparoscopic extraperitoneal linear uterine suspension is safe, with fewer mesh-related complications.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh

Liang

Chen

Deng

et al. 2017

BJOG

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“…However, the round ligament is not particularly robust, and perhaps, as expected, it has been shown to have poor outcomes, with one case series of nine women reporting recurrent prolapse in all but one patient within 6 months. 27 Chen et al 28 used mesh to suspend the uterus by attachment to the anterior abdominal wall. While they reported good outcomes, all patients experienced significant pain or dragging sensations over the mesh attachment site.…”

Section: Laparoscopic Approachmentioning

confidence: 99%

Management of uterine prolapse: is hysterectomy necessary?

Jefferis

Jackson

Price

2016

The Obstetric & Gynaecologis

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Key content Management of uterine prolapse is currently heavily influenced by patient and surgeon preferences. The traditional approach to uterine prolapse is vaginal hysterectomy. However, this does not address the underlying deficiency in connective tissue pelvic floor support, and prolapse recurrence is common. Uterine preservation surgery is increasing in popularity, both with surgeons and patients; there is currently little evidence to show superior outcome to hysterectomy. Fertility preservation remains the one absolute indication for hysteropexy. Other potential advantages include stronger apical support and reduced vaginal surgery. Colpocleisis remains a valid option for a small cohort of patients. Learning objectives Options for the management of uterine prolapse. How to help patients decide on a management plan.

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Pelvic Organ Prolapse

Ajayi

Chilaka

2021

Contemporary Obstetrics and Gynecology for Developing Countries

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Modified laparoscopic extraperitoneal uterine suspension to anterior abdominal wall: the easier way to treat uterine prolapse

Abstract: Modified laparoscopic extraperitoneal uterine suspension to the anterior abdominal wall using mesh is a feasible and effective method for treating uterine prolapse and is easy to perform.

Cited by 6 publications

References 13 publications

Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh

Laparoscopic extraperitoneal uterine suspension with suture line instead of mesh

Management of uterine prolapse: is hysterectomy necessary?

Pelvic Organ Prolapse

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