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Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse
OBJECTIVES: We present a new surgery based on the round ligament anatomy that is called laparoscopic abdominopexy, which uses a synthetic mesh without fixation at any pelvic point. The aim of this study is to provide a step-by-step description of the laparoscopic abdominopexy technique and present t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570527/ https://www.ncbi.nlm.nih.gov/pubmed/31223227 http://dx.doi.org/10.4293/JSLS.2019.00012 |
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author | Gil Ugarteburu, Rodrigo Rúger Jiménez, Laura Rodríguez Villamil, Luis Blanco Fernández, Rebeca González Rodríguez, Iván Cruceyra Betriú, Guillermo Pello Fonseca, Jose Manuel Mosquera Madera, Javier |
author_facet | Gil Ugarteburu, Rodrigo Rúger Jiménez, Laura Rodríguez Villamil, Luis Blanco Fernández, Rebeca González Rodríguez, Iván Cruceyra Betriú, Guillermo Pello Fonseca, Jose Manuel Mosquera Madera, Javier |
author_sort | Gil Ugarteburu, Rodrigo |
collection | PubMed |
description | OBJECTIVES: We present a new surgery based on the round ligament anatomy that is called laparoscopic abdominopexy, which uses a synthetic mesh without fixation at any pelvic point. The aim of this study is to provide a step-by-step description of the laparoscopic abdominopexy technique and present the first anatomical and functional results of the procedure. METHODS: This prospective cohort study included patients with apical and anterior vaginal prolapse who were subjected to laparoscopic abdominopexy. Before and after surgery, the Pelvic Organ Prolapse Quantification (POP-Q) scale, Overactive Bladder Questionnaire-Short Form (OABq-SF), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) were used to evaluate the vaginal prolapse stage, storage, and sexual symptoms, respectively. The surgical technique is described step by step. RESULTS: Twenty patients were included with follow-up times between 6 and 25 months. The mean surgical time was 78.4 minutes. A statistically significant improvement was observed in the Aa (P ≤ 10(−5)), Ba (P ≤ 10(−5)), C (P = 5 × 10(−5)), D (P = .002) and tvl (P = .02) POP-Q points and in OABq-SF (22.2%; P = .02). Successful surgery was observed in 100% of patients for the apical compartment and 90% of patients for the anterior compartment. CONCLUSION: Laparoscopic abdominopexy is a quick, safe, and reproducible surgical technique with beneficial anatomical and functional results that preserve the pelvic floor anatomy. |
format | Online Article Text |
id | pubmed-6570527 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-65705272019-06-20 Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse Gil Ugarteburu, Rodrigo Rúger Jiménez, Laura Rodríguez Villamil, Luis Blanco Fernández, Rebeca González Rodríguez, Iván Cruceyra Betriú, Guillermo Pello Fonseca, Jose Manuel Mosquera Madera, Javier JSLS Scientific Paper OBJECTIVES: We present a new surgery based on the round ligament anatomy that is called laparoscopic abdominopexy, which uses a synthetic mesh without fixation at any pelvic point. The aim of this study is to provide a step-by-step description of the laparoscopic abdominopexy technique and present the first anatomical and functional results of the procedure. METHODS: This prospective cohort study included patients with apical and anterior vaginal prolapse who were subjected to laparoscopic abdominopexy. Before and after surgery, the Pelvic Organ Prolapse Quantification (POP-Q) scale, Overactive Bladder Questionnaire-Short Form (OABq-SF), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) were used to evaluate the vaginal prolapse stage, storage, and sexual symptoms, respectively. The surgical technique is described step by step. RESULTS: Twenty patients were included with follow-up times between 6 and 25 months. The mean surgical time was 78.4 minutes. A statistically significant improvement was observed in the Aa (P ≤ 10(−5)), Ba (P ≤ 10(−5)), C (P = 5 × 10(−5)), D (P = .002) and tvl (P = .02) POP-Q points and in OABq-SF (22.2%; P = .02). Successful surgery was observed in 100% of patients for the apical compartment and 90% of patients for the anterior compartment. CONCLUSION: Laparoscopic abdominopexy is a quick, safe, and reproducible surgical technique with beneficial anatomical and functional results that preserve the pelvic floor anatomy. Society of Laparoendoscopic Surgeons 2019 /pmc/articles/PMC6570527/ /pubmed/31223227 http://dx.doi.org/10.4293/JSLS.2019.00012 Text en © 2019 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 Gil Ugarteburu, Rodrigo Rúger Jiménez, Laura Rodríguez Villamil, Luis Blanco Fernández, Rebeca González Rodríguez, Iván Cruceyra Betriú, Guillermo Pello Fonseca, Jose Manuel Mosquera Madera, Javier Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title | Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title_full | Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title_fullStr | Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title_full_unstemmed | Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title_short | Laparoscopic Abdominopexy: Surgery for Vaginal Prolapse |
title_sort | laparoscopic abdominopexy: surgery for vaginal prolapse |
topic | Scientific Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570527/ https://www.ncbi.nlm.nih.gov/pubmed/31223227 http://dx.doi.org/10.4293/JSLS.2019.00012 |
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