A report of three cases of using Dubuisson´s laparoscopic lateral ventrosuspension for correcting apical prolapse when there is contraindication for sacral suspension
DOI:
https://doi.org/10.18597/rcog.409Keywords:
colposuspension, laparoscopy, apical prolapseAbstract
Objective: describing the first 3 cases of Dubuisson´s laparoscopic lateral colposuspension in Colombia as an alternative for treating apical prolapse in patients in whom colposacropexy was not feasible at the Gynecological Endoscopy Unit, Clínica del Prado, Medellín, Colombia.
Methods: case report.
Results: mean age: 59 years (48-72). Mean surgical time: 160 minutes (120-180), estimated blood loss: 66 cc (50-100). There were no intra-operation complications. There has been no recurrence of prolapse during mean follow-up period (6 months) or any evidence of urinary, defecatory or sexual dysfunction. The 3 patients have been totally satisfied with the operation result.
Conclusions: laparoscopic lateral colposuspension is a valid alternative in our setting for treating patients suffering from apical prolapse who have contraindication for sacropexy.
Author Biographies
José F. De Los Ríos
Pablo A. González
References
Wilcox LS, Koonin LM, Pokras R, Strauss LT, Xia Z, Peterson HB. Hysterectomy in the United States 1988-1990. Obstet Gynecol 1994;83:549-55.
Graves EJ, Kozak LJ. Detailed diagnoses and procedures, National Hospital Discharge Survey, 1996. Vital Health Stat 13 1998:1-151.
Boyles SH, Weber AM, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979-1997. Am J Obstet Gynecol 2003;188:108-15.
Subak LL, Waetjen LE, Van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol 2001;98:646-51.
Wei JT, De Lancey JO. Functional anatomy of the pelvic floor and lower urinary tract. Clin Obstet Gynecol 2004;47:3-17.
Campbell RM. The anatomy and histology of the sacrouterine ligaments. Am J Obstet Gynecol 1950;59:1.
Cespedes RD. Diagnosis and treatment of vaginal vault prolapse conditions. Urology 2002;60:8-15.
Richardson AC, Lyon JB, Williams NL. A new look at pelvic relaxation. Am J Obstet Gynecol 1976;126:568-73.
Marchionni M, Bracco G, Checcucci V, Carabaneanu A, Coccia EM, Mecacci F, et al. True incidence of vaginal vault prolapse. J Reprod Med 1999;44:679-84.
Arbel R, Lavy Y. Vaginal vault prolapse: choice of operation. Best Pract Res Clin Obstet Gynaecol 2005;19:959-77.
Glavind K, Kempf L. Colpectomy or Le Fort colpocleisis-- a good option in selected elderly patients. Int Urogynecol J Pelvic Floor Dysfunct 2005;16:48-51.
Dubuison JB, Chapron C. Laparoscopic iliac colpo-uterine suspension for treatment of genital prolapse using two meshes. A new operative technique. J Gynecol Surg 1998;14:153-9.
Dubuison JB, Yaron M, Wenger JM, Jacob S. Treatment of genital prolapse by laparoscopic lateral suspension: using mesh: a series of 73 patients. J Minim Invasive Gynecol 2008;15:49-55.
Nezhat CH, Nezhat F, Nezhat C. Laparoscopic sacral colpopexy for vaginal vault prolapse. Obstet Gynecol 1994;84:885-8.
Hardiman PJ, Drutz HP. Sacrospinous vault suspension and abdominal colposacropexy: success rates and complications. Am J Obstet Gynecol 1996;175:612-6.
Dubuisson JB, Jacob S, Chapron C, Fauconnier A, Decuypere F, Dubernard G. Laparoscopic management of genital prolapse: lateral utero-vaginal suspension with 2 meshes. Gynecol Obstet Fertil 2002;30:114-20.
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