Laparoscopic Sacrocolpopexy
نویسندگان
چکیده
Laparoscopy offers great exposure and surgical detail, reduces blood loss and the need for excessive abdominal packing-- and bowel manipulation making it an excellent modality to perform pelvic floor surgery. Laparoscopic repair of level I or apical vaginal prolapse may be challenging, due to the need for extensive dissection and advanced suturing skills. However, it offers the efficacy of open abdominal sacrocolpopexy, such as lower recurrence rates and less dyspareunia-- than sacrospinous fixation, as well as the reduced morbidity of a laparoscopic approach.
منابع مشابه
A Comparison of Complications between Open Abdominal Sacrocolpopexy and Laparoscopic Sacrocolpopexy for the Treatment of Vault Prolapse
Introduction. Sacrocolpopexy is a generally applied treatment for vault prolapse which can be performed laparoscopically or by open laparotomy. Methods. Between October 2007 and December 2012, we performed a multicenter prospective cohort study in 2 university and 4 teaching hospitals in the Netherlands. We included patients with symptomatic posthysterectomy vaginal vault prolapse requiring sur...
متن کاملLaparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial.
OBJECTIVE To compare conventional laparoscopic and robotic-assisted laparoscopic sacrocolpopexy for vaginal apex prolapse. METHODS This single-center, blinded randomized trial included participants with stage 2-4 posthysterectomy vaginal prolapse. Participants were randomized to laparoscopic or robotic sacrocolpopexy. The primary outcome was total operative time from incision to closure. Seco...
متن کاملLaparoscopic sacrocolpopexy for the correction of vaginal vault prolapse.
BACKGROUND AND PURPOSE Laparoscopic sacrocolpopexy offers a minimally invasive approach to correcting vaginal vault prolapse. We describe our operative technique and review our experience. PATIENTS AND METHODS A retrospective study of 10 patients who underwent laparoscopic sacrocolpopexy between February 2000 and June 2002 for posthysterectomy vaginal vault prolapse was performed. Data collec...
متن کاملMassive Subcutaneous Emphysema in Robotic Sacrocolpopexy
The advent of robotic surgery has increased the popularity of laparoscopic sacrocolpopexy. Carbon dioxide insufflation, an essential component of laparoscopy, may rarely cause massive subcutaneous emphysema, which may be coincident with life-threatening situations such as hypercarbia, pneumothorax, and pneumomediastinum. Although the literature contains several reports of massive subcutaneous e...
متن کاملLaparoscopic vs Robotic-assisted Sacrocolpopexy
Background: Laparoscopic sacrocolpopexy has been in vogue since 1993. Robotic technique has started only since 2004.1 In this article both the techniques are reviewed and an attempt is made to discuss the advantages of each. Objective: Initially, a description of the procedure is given. Then, the article will review the recent published studies on the procedure, patient selection, intraoperativ...
متن کاملMinilaparoscopic Versus Conventional Laparoscopic Sacrocolpopexy: A Comparative Study.
INTRODUCTION AND AIMS We aim to compare clinical and surgical outcomes between minilaparoscopic sacrocolpopexy (MLSC) and conventional laparoscopic sacrocolpopexy (LSC). As far as we know, no comparative study exists between these two minimal invasive procedures to correct vaginal prolapse. DESIGN AND SETTING An observational and comparative study with 20 individuals submitted to vaginal vaul...
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