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A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension
BACKGROUND AND OBJECTIVES: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020889/ https://www.ncbi.nlm.nih.gov/pubmed/29977109 http://dx.doi.org/10.4293/JSLS.2017.00105 |
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author | Kong, Wei Cheng, Xinghan Xiong, Guangwu |
author_facet | Kong, Wei Cheng, Xinghan Xiong, Guangwu |
author_sort | Kong, Wei |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP). METHODS: We retrospectively analyzed the clinical data of 9 patients with symptomatic POP treated intraoperatively with LPASLS at the Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, between November 2016 and July 2017. Regular follow-up was performed at 1, 3, and 6 months after the operation. Subjective cure was considered as the absence of any postoperative subjective symptoms, and objective cure was considered as a postoperative POP-Q grade of 0. RESULTS: All operations were completed successfully. The operative time ranged from 90 to 140 (mean, 117.78 ± 20.01) minutes, and the mean suspension time was about 30 minutes. The intraoperative estimated blood loss ranged from 30 to 100 (range, 54.9 ± 24.2) mL, and pelvic vascular injury occurred in 1 patient. Postoperative sacrococcygeal pain occurred in 5 patients, and Visual Analog Scale scores ranged from 3 to 4 (mean, 3.4 ± 0.5). The symptom disappeared without any treatment after 3–4 d. Patients were followed up for 3–10 (mean, 6.3 ± 2.1) months, and the subjective and objective cure rates were both 100%. CONCLUSION: LPASLS is safe and feasible and may be considered as an alternative approach to traditional laparoscopic sacrospinous ligament suspension. |
format | Online Article Text |
id | pubmed-6020889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-60208892018-07-05 A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension Kong, Wei Cheng, Xinghan Xiong, Guangwu JSLS Scientific Paper BACKGROUND AND OBJECTIVES: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP). METHODS: We retrospectively analyzed the clinical data of 9 patients with symptomatic POP treated intraoperatively with LPASLS at the Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, between November 2016 and July 2017. Regular follow-up was performed at 1, 3, and 6 months after the operation. Subjective cure was considered as the absence of any postoperative subjective symptoms, and objective cure was considered as a postoperative POP-Q grade of 0. RESULTS: All operations were completed successfully. The operative time ranged from 90 to 140 (mean, 117.78 ± 20.01) minutes, and the mean suspension time was about 30 minutes. The intraoperative estimated blood loss ranged from 30 to 100 (range, 54.9 ± 24.2) mL, and pelvic vascular injury occurred in 1 patient. Postoperative sacrococcygeal pain occurred in 5 patients, and Visual Analog Scale scores ranged from 3 to 4 (mean, 3.4 ± 0.5). The symptom disappeared without any treatment after 3–4 d. Patients were followed up for 3–10 (mean, 6.3 ± 2.1) months, and the subjective and objective cure rates were both 100%. CONCLUSION: LPASLS is safe and feasible and may be considered as an alternative approach to traditional laparoscopic sacrospinous ligament suspension. Society of Laparoendoscopic Surgeons 2018 /pmc/articles/PMC6020889/ /pubmed/29977109 http://dx.doi.org/10.4293/JSLS.2017.00105 Text en © 2018 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Paper Kong, Wei Cheng, Xinghan Xiong, Guangwu A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title | A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title_full | A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title_fullStr | A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title_full_unstemmed | A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title_short | A Posterior Approach to Laparoscopic Sacrospinous Ligament Suspension |
title_sort | posterior approach to laparoscopic sacrospinous ligament suspension |
topic | Scientific Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020889/ https://www.ncbi.nlm.nih.gov/pubmed/29977109 http://dx.doi.org/10.4293/JSLS.2017.00105 |
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