Journal de gynecologie, obstetrique et biologie de la reproduction · 2010
[Feasibility and short-term morbidity of laparoscopic sacrocolpopexy with previous genital prolapse surgery].
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Menard J-P, Perez T, Agostini A
Аннотация
OBJECTIVES: To value feasibility and short-term morbidity of laparoscopic sacrocolpopexy for recurrent genital prolapse.
PATIENTS AND METHODS: From a retrospective study, 43 women were operated on for recurrent genital prolapse (PR), 155 women were operated on for genital prolapse without previous prolapse surgery (PNR). The feasibility and the rate of per and postoperative complication were determined in both groups.
RESULTS: Thirty-eight women (88.4 %) of the PR group had an entire procedure associating an anterior and a posterior mesh against 153 (98.7 %) in the PNR group (p=0.001). The rate of visceral injury was higher in the PR group than in the PNR group (9.3 % versus 3.2 %, p=0.09). The rate of rectal injury was 2 %. After an average follow-up of 7 months (minimum: 1 month; maximum: 45 months), the rate of mesh exposure was higher in the PR group than in PNR group (4.7 % versus 1.3 %, p=0.17). The rate of imperfect result after surgery was 4.7 % in the PR group and 9.2 % in the PNR group (p=0.34). Six women were reoperated for a recurrent genital prolapse.
CONCLUSION: The laparoscopic sacrocolpopexy is a feasible procedure to treat recurrent genital prolapse. This needs a surgical team able to manage peroperative incident.
PATIENTS AND METHODS: From a retrospective study, 43 women were operated on for recurrent genital prolapse (PR), 155 women were operated on for genital prolapse without previous prolapse surgery (PNR). The feasibility and the rate of per and postoperative complication were determined in both groups.
RESULTS: Thirty-eight women (88.4 %) of the PR group had an entire procedure associating an anterior and a posterior mesh against 153 (98.7 %) in the PNR group (p=0.001). The rate of visceral injury was higher in the PR group than in the PNR group (9.3 % versus 3.2 %, p=0.09). The rate of rectal injury was 2 %. After an average follow-up of 7 months (minimum: 1 month; maximum: 45 months), the rate of mesh exposure was higher in the PR group than in PNR group (4.7 % versus 1.3 %, p=0.17). The rate of imperfect result after surgery was 4.7 % in the PR group and 9.2 % in the PNR group (p=0.34). Six women were reoperated for a recurrent genital prolapse.
CONCLUSION: The laparoscopic sacrocolpopexy is a feasible procedure to treat recurrent genital prolapse. This needs a surgical team able to manage peroperative incident.