Laparoscopic hysterosacropexy for uterine conservation in patients having pure apical defects: a report of 4 cases from Medellín, Colombia, during 2006
DOI:
https://doi.org/10.18597/rcog.431Keywords:
hysteropexy, laparoscopy, apical prolapse, sacropexyAbstract
Objective: describing the laparoscopic hysterosacropexy technique and short-term results in 4 patients with apical prolapse in whom hysterectomy was contraindicated.
Setting: gynecological endoscopy unit, Clínica del Prado, Medellín, Colombia.
Sample: four patients with apical prolapse wishing for uterine conservation or having contraindication for hysterectomy.
Methods: reviewing medical records, follow-up visits and telephone questionnaire.
Main outcomes: age, indication for surgery, operatingtime, estimated blood loss, intra-operative complications, hospitalization time, incidence of postoperative urinary, defecatory or sexual dysfunction, developing urinary incontinence, mesh-derived complications, prolapse recurrence, subjective cure rate, objective cure rate, satisfaction, pregnancies after surgery.
Results: mean age was 53 (39-71), 67 minutes mean time(60-75) spent in surgery, 30 cc mean estimated blood loss (10-50) and 15 hours mean hospitalisation time (6-24). There were no intra-operation complications. There have been no recurrences of prolapse or any evidence of urinary, defecatory or costal dysfunctions in sexually-active patients during mean follow-up period (12 months). All patients were completely satisfied with the operation result. No pregnancies have been recorded to date.
Conclusions: laparoscopic hysterosacropexy could be a valid alternative in our setting for treating patients suffering apical prolapse having contraindication for hysterectomy. Further studies are needed for establishing its role in clinical practice.
Author Biographies
José F. De Los Ríos
José L. Restrepo
Juan D. Castañeda
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