Abstract
Objective: To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH). Materials and Methods: Thirty-three women with stage 3 or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh-related complications and improvements of symptoms. The operation had three sections; 1st laparoscopic, 2nd vaginal, 3rd laparoscopic. Results: The mean age, gravidity, and parity of the study population were 46.5 years (range, 25-68 years), 4.3 (1-9), and 2.9 (1-6), respectively. The mean duration of operation was 59.5 min (range, 20-120 min). There were significant differences between the pre- and post-operative values of pelvic organ prolapse quantification parameters, which were favorable in the latter evaluation (p<0.001); total vaginal length was preserved after surgery (p>0.05). Conclusion: VALSH is a safe and minimally-invasive procedure in uterovaginal prolapse, with favorable anatomic and functional outcomes at 12 months post-operatively.
Original language | English (US) |
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Pages (from-to) | 181-186 |
Number of pages | 6 |
Journal | Turkish Journal of Obstetrics and Gynecology |
Volume | 14 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2017 |
Keywords
- Laparoscopy
- Sacrohysteropexy
- Vaginally-assisted laparoscopic sacrohysteropexy
ASJC Scopus subject areas
- Obstetrics and Gynecology