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- Title
Sacrocolpopexia laparoscópica para el tratamiento del prolapso apical: resultados y seguimiento a largo plazo.
- Authors
López R., Claudia; Cifuentes P., Carolina; De Los Ríos P., José; Calle G., Gustavo; Castañeda R., Juan; Almanza P., Luis; Vásquez R., Ricardo; Arango M., Adriana; Jiménez Z., Luis
- Abstract
Objective: To evaluate the long-term subjective, anatomical and functional outcomes after laparoscopic sacrocolpopexy for apical prolapse. Methods: An observational study of women undergoing laparoscopic sacrocolpopexy between February 2006 and December 2012 was undertaken, at three centers. Pelvic organ support was assessed objectively using the pelvic organ prolapse quantification scale (POP-Q). Functional outcomes were assessed using a questionnaire of bowel, urinary, sexual and physical discomfort symptoms postoperatively. Also was assessed the overall satisfaction of surgery with a scale of one to ten. Results: During the period of the study, sacrocolpopexy was done in 68 patients, but follow-up was possible only in 24. At a mean follow up of 34 months, all 24 women had stage 0 vault support with point C of the POP-Q score averaging -6.8 cm. Subjective improvements in prolapse symptoms were observed with significant reductions in the questionnaire scores. The satisfaction measured with visual scale averaged 9.1. Fifteen women reported stress urinary incontinence before sacrocolpopexy, and it was resolved in 35% without concomitant continence surgery. New onset incontinence was reported in two women. There were no intraoperative and perioperative complications. The long term complications were an incisional hernia on the trocar port site and bowel obstruction caused by the mesh that needed intestinal resection. Conclusions: Laparoscopic sacrocolpopexy is a safe and effective surgical treatment for post-hysterectomy apical prolapse. It provides excellent apical support and good level of satisfaction, with overall improvement in prolapse symptoms.
- Subjects
PELVIC organ prolapse treatment; LAPAROSCOPIC surgery; URINARY incontinence; SURGICAL complications; HERNIA; HEALTH outcome assessment; FOLLOW-up studies (Medicine)
- Publication
Revista Chilena de Obstetricia y Ginecología, 2013, Vol 78, Issue 5, p338
- ISSN
0048-766X
- Publication type
Article