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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2019
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.
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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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