Laparoscopic sacrocolpopexy in the treatment of vaginal vault prolapse: 8 years experience

Antonino Perino, Federico Romano, Gaspare Cucinella, Roberta Granese, Gaspare Cucinella, Candiani, Romano, Antonino Perino

Risultato della ricerca: Article

43 Citazioni (Scopus)

Abstract

Objective: The aim of this study was to evaluate the long-term results of a laparoscopic sacrocolpopexy for the treatment of vaginal vault prolapse. Study design: Between January 1999 and January 2007, 165 laparoscopic sacrocolpopexy procedures, using a polypropylene mesh, were performed on women affected by vaginal vault prolapse. Intraoperative complications included: 5 bladder injuries and 3 sigmoid perforations. Postoperative complications included: 10 cases of fever, 5 cases of lumbosciatica, 15 cases of detrusor overactivity, 2 cases of vaginal haematoma, and 5 cases of minimal dispareunia. At 1, 6 and 12 months after surgery, a clinical evaluation was carried out for all patients. After this period, we contacted the women annually. Results: We treated 165 women, with an average age of 67 (range 58–76 years; S.D. 19.22), average parity of 3 (range 2–5), and average body mass index of 28 (range 24–30). In many of them, more than one additional procedure was performed. At a median follow-up of 43 months (range 6–96 months), out of a total of 138 patients (27 were lost at follow-up), we obtained successful treatment in 131 women (success rate of 94.9%), with a high rate of satisfaction from the procedure. Recurrent vaginal vault prolapse was registered in seven women (5.07%): in 3, the vaginal vault collapsed after a period ranging from 7 to 20 days, caused by the use of a Vyprol mesh (hence use of same was suspended), and in a further three women themesh detached after less than 1 month. Finally, in one case, we reported an erosion between the first and the second follow-up and the mesh was visualized in the vagina. Conclusions: Our study shows that laparoscopic sacrocolpopexy, in the hands of an expert surgeon, can be considered a safe, effective procedure for the treatment of vaginal vault prolapse, allowing long-term anatomical restoration (94.9% success rate).
Lingua originaleEnglish
pagine (da-a)227-231
Numero di pagine5
RivistaEUROPEAN JOURNAL OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE BIOLOGY
Volume2009-06
Stato di pubblicazionePublished - 2009

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Pelvic Organ Prolapse
Therapeutics
Polypropylenes
Intraoperative Complications
Vagina
Sigmoid Colon
Hematoma
Urinary Bladder
Body Mass Index
Fever
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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Laparoscopic sacrocolpopexy in the treatment of vaginal vault prolapse: 8 years experience. / Perino, Antonino; Romano, Federico; Cucinella, Gaspare; Granese, Roberta; Cucinella, Gaspare; Candiani; Romano; Perino, Antonino.

In: EUROPEAN JOURNAL OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE BIOLOGY, Vol. 2009-06, 2009, pag. 227-231.

Risultato della ricerca: Article

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abstract = "Objective: The aim of this study was to evaluate the long-term results of a laparoscopic sacrocolpopexy for the treatment of vaginal vault prolapse. Study design: Between January 1999 and January 2007, 165 laparoscopic sacrocolpopexy procedures, using a polypropylene mesh, were performed on women affected by vaginal vault prolapse. Intraoperative complications included: 5 bladder injuries and 3 sigmoid perforations. Postoperative complications included: 10 cases of fever, 5 cases of lumbosciatica, 15 cases of detrusor overactivity, 2 cases of vaginal haematoma, and 5 cases of minimal dispareunia. At 1, 6 and 12 months after surgery, a clinical evaluation was carried out for all patients. After this period, we contacted the women annually. Results: We treated 165 women, with an average age of 67 (range 58–76 years; S.D. 19.22), average parity of 3 (range 2–5), and average body mass index of 28 (range 24–30). In many of them, more than one additional procedure was performed. At a median follow-up of 43 months (range 6–96 months), out of a total of 138 patients (27 were lost at follow-up), we obtained successful treatment in 131 women (success rate of 94.9{\%}), with a high rate of satisfaction from the procedure. Recurrent vaginal vault prolapse was registered in seven women (5.07{\%}): in 3, the vaginal vault collapsed after a period ranging from 7 to 20 days, caused by the use of a Vyprol mesh (hence use of same was suspended), and in a further three women themesh detached after less than 1 month. Finally, in one case, we reported an erosion between the first and the second follow-up and the mesh was visualized in the vagina. Conclusions: Our study shows that laparoscopic sacrocolpopexy, in the hands of an expert surgeon, can be considered a safe, effective procedure for the treatment of vaginal vault prolapse, allowing long-term anatomical restoration (94.9{\%} success rate).",
keywords = "laparoscopic sacrocolpopexy;vaginal vault prolapse;polypropylene mesh",
author = "Antonino Perino and Federico Romano and Gaspare Cucinella and Roberta Granese and Gaspare Cucinella and Candiani and Romano and Antonino Perino",
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TY - JOUR

T1 - Laparoscopic sacrocolpopexy in the treatment of vaginal vault prolapse: 8 years experience

AU - Perino, Antonino

AU - Romano, Federico

AU - Cucinella, Gaspare

AU - Granese, Roberta

AU - Cucinella, Gaspare

AU - Candiani, null

AU - Romano, null

AU - Perino, Antonino

PY - 2009

Y1 - 2009

N2 - Objective: The aim of this study was to evaluate the long-term results of a laparoscopic sacrocolpopexy for the treatment of vaginal vault prolapse. Study design: Between January 1999 and January 2007, 165 laparoscopic sacrocolpopexy procedures, using a polypropylene mesh, were performed on women affected by vaginal vault prolapse. Intraoperative complications included: 5 bladder injuries and 3 sigmoid perforations. Postoperative complications included: 10 cases of fever, 5 cases of lumbosciatica, 15 cases of detrusor overactivity, 2 cases of vaginal haematoma, and 5 cases of minimal dispareunia. At 1, 6 and 12 months after surgery, a clinical evaluation was carried out for all patients. After this period, we contacted the women annually. Results: We treated 165 women, with an average age of 67 (range 58–76 years; S.D. 19.22), average parity of 3 (range 2–5), and average body mass index of 28 (range 24–30). In many of them, more than one additional procedure was performed. At a median follow-up of 43 months (range 6–96 months), out of a total of 138 patients (27 were lost at follow-up), we obtained successful treatment in 131 women (success rate of 94.9%), with a high rate of satisfaction from the procedure. Recurrent vaginal vault prolapse was registered in seven women (5.07%): in 3, the vaginal vault collapsed after a period ranging from 7 to 20 days, caused by the use of a Vyprol mesh (hence use of same was suspended), and in a further three women themesh detached after less than 1 month. Finally, in one case, we reported an erosion between the first and the second follow-up and the mesh was visualized in the vagina. Conclusions: Our study shows that laparoscopic sacrocolpopexy, in the hands of an expert surgeon, can be considered a safe, effective procedure for the treatment of vaginal vault prolapse, allowing long-term anatomical restoration (94.9% success rate).

AB - Objective: The aim of this study was to evaluate the long-term results of a laparoscopic sacrocolpopexy for the treatment of vaginal vault prolapse. Study design: Between January 1999 and January 2007, 165 laparoscopic sacrocolpopexy procedures, using a polypropylene mesh, were performed on women affected by vaginal vault prolapse. Intraoperative complications included: 5 bladder injuries and 3 sigmoid perforations. Postoperative complications included: 10 cases of fever, 5 cases of lumbosciatica, 15 cases of detrusor overactivity, 2 cases of vaginal haematoma, and 5 cases of minimal dispareunia. At 1, 6 and 12 months after surgery, a clinical evaluation was carried out for all patients. After this period, we contacted the women annually. Results: We treated 165 women, with an average age of 67 (range 58–76 years; S.D. 19.22), average parity of 3 (range 2–5), and average body mass index of 28 (range 24–30). In many of them, more than one additional procedure was performed. At a median follow-up of 43 months (range 6–96 months), out of a total of 138 patients (27 were lost at follow-up), we obtained successful treatment in 131 women (success rate of 94.9%), with a high rate of satisfaction from the procedure. Recurrent vaginal vault prolapse was registered in seven women (5.07%): in 3, the vaginal vault collapsed after a period ranging from 7 to 20 days, caused by the use of a Vyprol mesh (hence use of same was suspended), and in a further three women themesh detached after less than 1 month. Finally, in one case, we reported an erosion between the first and the second follow-up and the mesh was visualized in the vagina. Conclusions: Our study shows that laparoscopic sacrocolpopexy, in the hands of an expert surgeon, can be considered a safe, effective procedure for the treatment of vaginal vault prolapse, allowing long-term anatomical restoration (94.9% success rate).

KW - laparoscopic sacrocolpopexy;vaginal vault prolapse;polypropylene mesh

UR - http://hdl.handle.net/10447/43557

M3 - Article

VL - 2009-06

SP - 227

EP - 231

JO - European Journal of Obstetrics, Gynecology and Reproductive Biology

JF - European Journal of Obstetrics, Gynecology and Reproductive Biology

SN - 0028-2243

ER -