Outcomes of Abdominal and Minimally Invasive Sacrocolpopexy

Abstract

Although anatomic results are similar, ASC is associated with a higher rate of complications compared with MISC.

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

“…The NOS was customized to this research choosing two relevant confounders. BPrevious abdominal surgery^was selected because it is an independent predictor of potential complications after surgery [12] whereas Bconcomitant surgery^is a variable related to longer OT [13]. Also, it was decided that the period of follow-up should be no less than 12 months to allow time to detect prolapse recurrence [14].…”

“…From 20 studies included in the analysis, 12 compared MISC and OSC (Table 3) and eight RSC and LSC. However, the study by Nosti et al [12] also compared RSC and LSC, and thus was included in both analyses.…”

“…Overall, five ports were used for RSC [12,18,19], whereas four ports were used for LSC [8,20,21]. In nine studies a concomitant hysterectomy was performed Paper presented as an oral poster.…”

“…The author was contacted but no response was obtained [ 1 2 , 1 8 , 1 9 , 2 1 -2 6 ] . S e v e n s t u d i e s [12,20,21,23,24,26,27] reported the involvement of experienced surgeons, but in three studies [19,22,28] some surgeons were in their learning curve.…”

“…One study [12] showed a low risk of bias due to funding and a conflict of interest, whereas five studies [19,[23][24][25]27] showed a high risk of bias because of the source of funding or the presence of declared conflicts of interest (Fig. 3).…”