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

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Abstract

Objective: The aim of this study was to evaluate the long-term results of a laparoscopic sacrocolpopexyfor 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. Postoperativecomplications 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 thisperiod, we contacted the women annually.Results: We treated 165 women, with an average age of 67 (range 58–76 years; S.D. 19.22), averageparity of 3 (range 2–5), and average body mass index of 28 (range 24–30). In many of them, more thanone 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 lostat follow-up), we obtained successful treatment in 131 women (success rate of 94.9%), with a high rate ofsatisfaction 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 aVyprol mesh (hence use of same was suspended), and in a further three women themesh detached afterless than 1 month. Finally, in one case, we reported an erosion between the first and the second follow-upand the mesh was visualized in the vagina.Conclusions: Our study shows that laparoscopic sacrocolpopexy, in the hands of an expert surgeon, canbe considered a safe, effective procedure for the treatment of vaginal vault prolapse, allowing long-termanatomical 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

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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