European journal of obstetrics, gynecology, and reproductive biology · 2025
Long-term complications and reoperation after laparoscopic apical mesh fixation: sacrocolpopexy and sacrohysteropexy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sato Hirotaka, Otsuka Shota, Sugita Kenji, Abe Hirokazu, Tsukada Sachiyuki
Аннотация
OBJECTIVES: This study aimed to evaluate pelvic organ prolapse (POP) recurrence that required reoperation, mesh-related complications that required reoperation, and stress urinary incontinence (SUI) that required mid-urethral sling (MUS) surgery. It also aimed to identify risk factors for reoperation after laparoscopic sacrocolpopexy (SCP).
METHODS: We retrospectively analyzed 484 patients with symptomatic POP who underwent SCP at a single institution between 2015 and 2021. Data regarding POP severity and surgical techniques were collected. A Cox regression analysis was performed to assess associations between potential risk factors and reoperation for POP recurrence. Complications classified as grade III based on the Clavien-Dindo classification, such as POP recurrence, mesh-related complications, and SUI, were the primary outcomes.
RESULTS: The mean age at the time of SCP was 71.6 years (±7.4 years). All patients had stage III or worse POP according to the POP quantification (POP-Q) classification. The median follow-up duration was 46.0 months (interquartile range, 25.0-59.0). The overall reoperation rate was 15.3 %. The MUS procedure for SUI was the most common reoperation (7.4 %), followed by reoperation for POP recurrence (5.2 %) and reoperation for mesh-related complications (3.5 %). The Cox regression analysis revealed that a higher body mass index at the time of the initial surgery was significantly associated with an increased risk of reoperation for POP recurrence (hazard ratio, 1.136; 95 % confidence interval, 1.012-1.276).
CONCLUSION: Approximately one in seven patients required reoperation after SCP. These findings may enhance preoperative counseling and support more informed decision-making.
METHODS: We retrospectively analyzed 484 patients with symptomatic POP who underwent SCP at a single institution between 2015 and 2021. Data regarding POP severity and surgical techniques were collected. A Cox regression analysis was performed to assess associations between potential risk factors and reoperation for POP recurrence. Complications classified as grade III based on the Clavien-Dindo classification, such as POP recurrence, mesh-related complications, and SUI, were the primary outcomes.
RESULTS: The mean age at the time of SCP was 71.6 years (±7.4 years). All patients had stage III or worse POP according to the POP quantification (POP-Q) classification. The median follow-up duration was 46.0 months (interquartile range, 25.0-59.0). The overall reoperation rate was 15.3 %. The MUS procedure for SUI was the most common reoperation (7.4 %), followed by reoperation for POP recurrence (5.2 %) and reoperation for mesh-related complications (3.5 %). The Cox regression analysis revealed that a higher body mass index at the time of the initial surgery was significantly associated with an increased risk of reoperation for POP recurrence (hazard ratio, 1.136; 95 % confidence interval, 1.012-1.276).
CONCLUSION: Approximately one in seven patients required reoperation after SCP. These findings may enhance preoperative counseling and support more informed decision-making.