Surgical Outcomes of a Combined Surgical Approach for Apical Prolapse Repair

Revista Brasileira de Ginecologia e Obstetrícia

关键词: sacrocolpopexy;    operative time;    combined surgery;    apical prolapse;   

DOI  :  10.1055/s-0036-1586747

来源: DOAJ

【 摘 要 】

AbstractIntroductionWe aimed to evaluate the safety, efficacy and surgical outcomes of combined laparoscopic/vaginal prolapse repair by two surgeons.Material and MethodsA retrospective chart review of all patients (n =135) who underwent apical prolapse repair from February 2009 to December 2012 performed in a collaborative manner by a Minimally Invasive Gynecologic Surgeon and a Urogynecologist. Demographic data (age, body mass index [BMI], race, gravidity, parity) and surgical information (estimated blood loss, operative time, intraoperative complications, readmission and reoperation rates, presence of postoperative infection) were collected.ResultsThe majority of patients were postmenopausal (58.91%), multiparous (mean parity =2.49) and overweight (mean BMI =27.71). Nearly 20% had previous prolapse surgery. The most common surgical procedure was laparoscopic supracervical hysterectomy (LSH) with sacrocervicopexy (59.26%), and the most common vaginal repair was of the posterior compartment (78.68%). The median operative time was 149 minutes (82-302), and the estimated blood loss was 100 mL (10-530). Five intraoperative complications, five readmissions and four reoperations were noted. Performance of a concomitant hysterectomy did not affect surgical or anatomical outcomes.ConclusionCombination laparoscopic/vaginal prolapse repair by two separate surgeons seems to be an efficient option for operative management.

【 授权许可】

Unknown