A new operation technique for uterine prolapse: Vaginally-assisted laparoscopic sacrohysteropexy

İlhan Sanverdi, Çetin Kılıççı, Mesut Polat, Enis Özkaya, Sami Gökhan Kılıç, Merve Dizdar, Ateş Karateke

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Objective: To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH). Materials and Methods: Thirty-three women with stage 3 or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh-related complications and improvements of symptoms. The operation had three sections; 1st laparoscopic, 2nd vaginal, 3rd laparoscopic. Results: The mean age, gravidity, and parity of the study population were 46.5 years (range, 25-68 years), 4.3 (1-9), and 2.9 (1-6), respectively. The mean duration of operation was 59.5 min (range, 20-120 min). There were significant differences between the pre- and post-operative values of pelvic organ prolapse quantification parameters, which were favorable in the latter evaluation (p<0.001); total vaginal length was preserved after surgery (p>0.05). Conclusion: VALSH is a safe and minimally-invasive procedure in uterovaginal prolapse, with favorable anatomic and functional outcomes at 12 months post-operatively.

Original languageEnglish (US)
Pages (from-to)181-186
Number of pages6
JournalTurkish Journal of Obstetrics and Gynecology
Volume14
Issue number3
DOIs
StatePublished - Sep 2017

Keywords

  • Laparoscopy
  • Sacrohysteropexy
  • Vaginally-assisted laparoscopic sacrohysteropexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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