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Yoo and Lee: Clinical study of laparoscopic sacrocolpopexy for pelvic organ prolapse
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(11): 684-688.

Published online: 23 November 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.11.684

Clinical study of laparoscopic sacrocolpopexy for pelvic organ prolapse

Eun-Hee Yoo, MD, Sun-Kyung Lee, MD

Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.

Corresponding author: Eun-Hee Yoo, MD. Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, Korea. Tel: +82-2-440-6141, Fax: +82-2-440-7894, yooe7@khu.ac.kr

Received 30 April 2011       Revised 27 August 2011       Accepted 15 September 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective

The aim of our study is to describe the feasibility and safety of laparoscopic sacrocolpopexy for pelvic organ prolapse.

Methods

Twenty eight case series of laparoscopic sacrocolpopexy which were performed by the same surgeon were analysed retrospectively by reviewing medical records for peri- and postoperative data. Clinical outcomes and anatomical outcomes based on pelvic organ prolapse quantification system were assessed pre- and postoperatively.

Results

Initially, thirty one cases were tried and three cases were converted to open surgery (9.7%). Twenty eight cases with a mean age of 56 years (range, 34-69 years) were performed. Fifty three cases of concomitant surgery were performed with laparoscopic sacrocolpopexy. The mean operation time was 298 minutes. The minor perioperative complications of 3 cases (a case of wound hematoma and 2 cases of voiding dysfunction) occurred. There was no reoperation related to mesh or recurrent prolapse for a mean follow-up period of 20 months (range, 6-70 months).

Conclusion

Our results confi rm that laparoscopic sacrocolpopexy is a feasible and safe surgical modality for pelvic organ prolapse.

Keywords: Laparoscopy, Sacrocolpopexy, Pelvic organ prolapse

Figures and Tables

Table 1
Demographics
kjog-54-684-i001

Values are presented as mean ± standard deviation or number (%).

BMI, body mass index; POP-Q, pelvic organ prolapse-quantification.

Table 2
Concomitant surgery during laparoscopic sacrocolpopexy
kjog-54-684-i002
Table 3
Peri- and postoperative data of laparoscopic sacrocolpopexy
kjog-54-684-i003

Values are presented as mean ± standard deviation or number (%).

Table 4
Anatomic outcomes of laparoscopic sacrocolpopexy
kjog-54-684-i004

Aa, anterior vaginal wall 3 cm proximal to the hymen; Ba, most distal position of the remaining upper anterior vaginal wall; C, most distal edge of cervix or vaginal cuff scar; Ap, posterior vaginal wall 3 cm proximal to the hymen; Bp, most distal position of the remaining upper posterior vaginal wall; Gh, genital hiatus; Pb, perineal boby; TVL, total vaginal length.

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