Correction of pelvic organ prolapse by laparoscopic lateral suspension with mesh: A clinical series.
Eur J Obstet Gynecol Reprod Biol
; 240: 351-356, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31382147
ABSTRACT
OBJECTIVE:
Illustrating the outcomes of laparoscopic lateral suspension by mesh for pelvic organ prolapse repair. STUDYDESIGN:
A retrospective observational study was conducted collecting medical records of 48 patients treated between May 2016 and April 2018 in two different centers in Italy. Pre- and post-operative clinical evaluations as well as patients' satisfaction scores were considered. Patients were followed for two years. Statistical analysis was determined using the chi-square test in intention-to-treat and per-protocol analyses, while Kaplan-Meier curves were built for assessing the prolapse recurrence and the symptoms recurrence. The Steel-Dwass test for pairwise comparisons was used to compare median scores from the King's General Health Perception Questionnaire answers.RESULTS:
Regarding the anatomical result, the outcome was either optimal or satisfactory (PoP-Q ≤1) at 12 months in 92% of patients for anterior compartment, in 100% for apical compartment, and in 75% for posterior compartment (intention-to-treat). Kaplan-Meier curves depicted a repair of prolapse in 70% of cases, with better outcomes for the anterior and the apical compartment. Patient self-perception of health was over 80% at each follow-up evaluation.CONCLUSION:
Laparoscopic lateral suspension is a reasonable technique for treatment of pelvic organ prolapse. Further studies are needed to prove such a technique versus alternative surgeries.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
/
Laparoscopia
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Prolapso de Órgão Pélvico
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Eur J Obstet Gynecol Reprod Biol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Itália