Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy
(1) Background: Sacrocolpopexy (SCP) with subtotal hysterectomy (SH) is a standard procedure for the treatment of utero-vaginal prolapse. Several disadvantages are associated with the remaining cervix; therefor, SCP with total hysterectomy (TH) may be preferred. According to some publications, SCP w...
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| Format: | Article |
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MDPI AG
2022-01-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/3/1/2 |
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| author | Ivo Faehnle-Schiegg Janine Abgottspon Janine Frey Joerg Krebs Corina Christmann-Schmid |
| author_facet | Ivo Faehnle-Schiegg Janine Abgottspon Janine Frey Joerg Krebs Corina Christmann-Schmid |
| author_sort | Ivo Faehnle-Schiegg |
| collection | DOAJ |
| description | (1) Background: Sacrocolpopexy (SCP) with subtotal hysterectomy (SH) is a standard procedure for the treatment of utero-vaginal prolapse. Several disadvantages are associated with the remaining cervix; therefor, SCP with total hysterectomy (TH) may be preferred. According to some publications, SCP with concomitant TH is associated with higher rates of mesh extrusion. Our hypothesis is that mesh extrusion at the apex can be avoided through prevention of thermal injury and through vaginal cuff suturing when performing the laparoscopic sacrocolpopexy combined with a laparoscopic-assisted vaginal total hysterectomy (LAVH). (2) Methods: This prospective cohort study was performed from 2016 until January 2019 including women with a utero-vaginal prolapse undergoing laparoscopic SCP with LAVH. The SCP was performed utilizing a non-absorbable polypropylene macroporous mesh (EndoGYNious<sup>®</sup>). The primary outcome was the mesh extrusion rate after SCP with concomitant LAVH. The secondary outcome was the objective and functional outcome. (3) There were 50 women included in this prospective cohort. At follow up of 6–12 weeks postoperatively, no mesh extrusion was detected and objectified. Overall, all women showed excellent anatomical and functional outcome. The median time from surgery was 42 months. (4) Laparoscopic SCP with concomitant LAVH showed no increased risk of mesh extrusion and good objective and functional outcomes. |
| first_indexed | 2024-03-09T12:35:58Z |
| format | Article |
| id | doaj.art-6ec7a2cfc36c41dc80f18ed80356ce00 |
| institution | Directory Open Access Journal |
| issn | 2673-4095 |
| language | English |
| last_indexed | 2024-03-09T12:35:58Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj.art-6ec7a2cfc36c41dc80f18ed80356ce002023-11-30T22:24:49ZengMDPI AGSurgeries2673-40952022-01-013141010.3390/surgeries3010002Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal HysterectomyIvo Faehnle-Schiegg0Janine Abgottspon1Janine Frey2Joerg Krebs3Corina Christmann-Schmid4Departement of Urogynecology, Cantonal Hospital of Lucerne, CH-6000 Lucerne, SwitzerlandFaculty of Medicine, University of Bern, CH-3010 Bern, SwitzerlandDepartement of Urogynecology, Cantonal Hospital of Lucerne, CH-6000 Lucerne, SwitzerlandClinical Trial Unit, Swiss Paraplegic Centre, CH-6207 Nottwil, SwitzerlandDepartement of Urogynecology, Cantonal Hospital of Lucerne, CH-6000 Lucerne, Switzerland(1) Background: Sacrocolpopexy (SCP) with subtotal hysterectomy (SH) is a standard procedure for the treatment of utero-vaginal prolapse. Several disadvantages are associated with the remaining cervix; therefor, SCP with total hysterectomy (TH) may be preferred. According to some publications, SCP with concomitant TH is associated with higher rates of mesh extrusion. Our hypothesis is that mesh extrusion at the apex can be avoided through prevention of thermal injury and through vaginal cuff suturing when performing the laparoscopic sacrocolpopexy combined with a laparoscopic-assisted vaginal total hysterectomy (LAVH). (2) Methods: This prospective cohort study was performed from 2016 until January 2019 including women with a utero-vaginal prolapse undergoing laparoscopic SCP with LAVH. The SCP was performed utilizing a non-absorbable polypropylene macroporous mesh (EndoGYNious<sup>®</sup>). The primary outcome was the mesh extrusion rate after SCP with concomitant LAVH. The secondary outcome was the objective and functional outcome. (3) There were 50 women included in this prospective cohort. At follow up of 6–12 weeks postoperatively, no mesh extrusion was detected and objectified. Overall, all women showed excellent anatomical and functional outcome. The median time from surgery was 42 months. (4) Laparoscopic SCP with concomitant LAVH showed no increased risk of mesh extrusion and good objective and functional outcomes.https://www.mdpi.com/2673-4095/3/1/2hysterectomylaparoscopymesh erosionmesh extrusionsacrocolpopexy |
| spellingShingle | Ivo Faehnle-Schiegg Janine Abgottspon Janine Frey Joerg Krebs Corina Christmann-Schmid Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy Surgeries hysterectomy laparoscopy mesh erosion mesh extrusion sacrocolpopexy |
| title | Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy |
| title_full | Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy |
| title_fullStr | Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy |
| title_full_unstemmed | Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy |
| title_short | Prospective Evaluation of Laparoscopic Sacrocolpopexy with Concomitant Laparoscopic-Assisted Total Vaginal Hysterectomy |
| title_sort | prospective evaluation of laparoscopic sacrocolpopexy with concomitant laparoscopic assisted total vaginal hysterectomy |
| topic | hysterectomy laparoscopy mesh erosion mesh extrusion sacrocolpopexy |
| url | https://www.mdpi.com/2673-4095/3/1/2 |
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