Uterus-preserving laparoscopic lateral suspension with mesh for pelvic organ prolapse: a patient-centred outcome report and video of a continuous series of 245 patients

2015 ◽  
Vol 27 (3) ◽  
pp. 491-493 ◽  
Author(s):  
Nikolaus Veit-Rubin ◽  
Jean-Bernard Dubuisson ◽  
Sören Lange ◽  
Isabelle Eperon ◽  
Jean Dubuisson
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Continuous Series ◽  
Laparoscopic Lateral Suspension

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

2017 ◽  
Vol 28 (11) ◽  
pp. 1685-1693 ◽  
Author(s):  
Nikolaus Veit-Rubin ◽  
Jean-Bernard Dubuisson ◽  
Angèle Gayet-Ageron ◽  
Sören Lange ◽  
Isabelle Eperon ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Continuous Series ◽  
Laparoscopic Lateral Suspension

scholarly journals Modified laparoscopic lateral suspension with a five-arm mesh in pelvic organ prolapse surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eren Akbaba ◽  
Burak Sezgin
Keyword(s):  
Pelvic Organ Prolapse ◽  
De Novo ◽  
Pelvic Organ ◽  
Laparoscopic Technique ◽  
Life Questionnaire ◽  
Advanced Stage ◽  
Posterior Compartment ◽  
Anterior Compartment ◽  
Mesh Graft ◽  
Laparoscopic Lateral Suspension

Abstract Background Laparoscopic lateral suspension (LLS) is a laparoscopic technique used to treat pelvic organ prolapse (POP) in apical and anterior compartment defect with the use of a synthetic T-shaped mesh graft. The posterior compartment is repaired using a second mesh or a procedure along with LLS, such as posterior colporrhaphy. The aim of this study was to evaluate the clinical results of LLS for POP using a five-arm mesh instead of a T-shaped mesh graft to repair the defect of the posterior compartment in addition to the apical and anterior compartments. Methods Data from 37 patients with a diagnosis of advanced-stage (≥ 3) POP undergoing LLS with the use of a five-arm mesh were retrospectively analysed. Pre-operative and post-operative examinations and, surgical outcomes were determined. The results of measurements and examinations, reoperation rates, erosion rates, lower urinary tract symptoms, and complications were analysed. The Prolapse Quality of Life Questionnaire (P-QOL) was also used. Results The median post-operative follow-up was 20 (13–34) months. There was a significant improvement in POP-Q scores in all treated compartments, with overall objective cure rates of 94.5% for the apical compartment, 86.4% for the anterior compartment, and 91.8% for the posterior compartment. The median operative time was 96 (76–112) minutes. The median length of hospitalization was 2 (1–3) days. A significant improvement in vaginal bulge, urinary urgency, incomplete voiding, urinary frequency, and constipation was observed after surgery. The sexuality among patients increased from 13 (35.1%) preoperatively to 22 (59.4%) post-operatively. De novo stress urinary incontinence developed in 7 (18.9%) patients. The P-QOL scores improved significantly after surgery. Conclusions In advanced-stage POP patients, the posterior compartment damage can also be repaired in LLS with the use of a single five-arm mesh without the need for an additional procedure, and the recurrence rate can be reduced.

Influence of laparoscopic lateral suspension for pelvic organ prolapse on overactive bladder symptoms

2019 ◽  
Vol 18 (9) ◽  
pp. e3175
Author(s):  
E. Malanowska ◽  
E. Rubilotta ◽  
A. Starczewski ◽  
W. Bielewicz ◽  
M. Balzarro
Keyword(s):  
Pelvic Organ Prolapse ◽  
Overactive Bladder ◽  
Pelvic Organ ◽  
Overactive Bladder Symptoms ◽  
Laparoscopic Lateral Suspension ◽  
Bladder Symptoms

Surgical management of dyspareunia after laparoscopic lateral suspension for pelvic organ prolapse

2020 ◽  
Vol 244 ◽  
pp. 205 ◽  
Author(s):  
Rodolfo Milani ◽  
Alice Cola ◽  
Stefania Palmieri ◽  
Matteo Frigerio ◽  
Stefano Manodoro
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Pelvic Organ ◽  
Laparoscopic Lateral Suspension

Correction of pelvic organ prolapse by laparoscopic lateral suspension with mesh: A clinical series

2019 ◽  
Vol 240 ◽  
pp. 351-356 ◽  
Author(s):  
Ruby Martinello ◽  
Gennaro Scutiero ◽  
Angelo Stuto ◽  
Ugo Indraccolo ◽  
Francesco Cracco ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Clinical Series ◽  
Laparoscopic Lateral Suspension

scholarly journals Laparoscopic lateral suspension for anterior and apical prolapse: a prospective cohort with standardized technique

2021 ◽  
Author(s):  
Kyriaki Chatziioannidou ◽  
Nikolaus Veit-Rubin ◽  
Patrick Dällenbach
Keyword(s):  
Pelvic Organ Prolapse ◽  
Perioperative Complications ◽  
Pelvic Organ ◽  
Reoperation Rate ◽  
Pop Surgery ◽  
Gynecological Examination ◽  
Absorbable Sutures ◽  
Laparoscopic Lateral Suspension ◽  
Pop Repair

Abstract Introduction and hypothesis Laparoscopic lateral suspension (LLS) for anterior and apical pelvic organ prolapse (POP) repair is a recent approach. Previous studies used various meshes or sutures. The purpose of this study was to evaluate outcomes of a standardized LLS technique. Methods From January 2010 until December 2014, we performed POP repair by LLS with mesh on 88 women with anterior and apical POP ≥ stage 2. We used a polypropylene titanized mesh fixed to the vesico-vaginal fascia with absorbable sutures and treated posterior compartment defect by vaginal approach with native tissue repair if required. Between July 2013 and December 2018, all women were assessed by gynecological examination including the pelvic organ prolapse quantification (POP-Q) system. Subjective outcome was evaluated by the patient global impression of improvement (PGI-I) questionnaire. Results Seventy-nine women (89.8%) were available for follow-up. The mean duration of follow-up was 3.4 years (SD 1.6). Mean age was 59.6 (SD 11.1) years and mean BMI 25.8 (SD 4.0) kg/m2. Ten patients (12.7%) had previous POP surgery. Fifty-two women (65.8%) required posterior colporraphy for associated posterior defect and 21 (26.6%) had associated urinary incontinence (UI) surgery. There were no perioperative complications. The objective cure rate (no prolapse beyond the hymen and no reoperation for POP recurrence) was 87.3%. The reoperation rate for recurrence was 5.1%. The subjective success rate (PGI ≤ 2) was 96.2%. There were no mesh exposures or extrusions. Conclusions This standardized LLS is safe and effective with no mesh complications after 3-year follow-up.

scholarly journals Laparoscopic lateral suspension for pelvic organ prolapse in a case with difficulty in performing laparoscopic sacrocolpopexy

2019 ◽  
Vol 2 (3) ◽  
pp. 118-120
Author(s):  
Yoshiyuki Okada ◽  
Tokumasa Hayashi ◽  
Yugo Sawada ◽  
Shino Tokiwa ◽  
Yuko Yoshio ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Laparoscopic Sacrocolpopexy ◽  
Laparoscopic Lateral Suspension

scholarly journals Uterus-preserving Laparoscopic Lateral Suspension with Mesh Operation in Pelvic Organ Prolapse: Initial Experience in a Single Tertiary Center with a Median 24-Month Follow-up

2019 ◽  
Vol 79 (09) ◽  
pp. 983-992 ◽  
Author(s):  
Murat Yassa ◽  
Niyazi Tug
Keyword(s):  
Patient Satisfaction ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Pelvic Organ ◽  
Stage Ii ◽  
Pelvic Floor Ultrasound ◽  
Anterior Compartment ◽  
Tertiary Center ◽  
Laparoscopic Lateral Suspension ◽  
Subjective Cure

Abstract Introduction Laparoscopic lateral suspension with mesh (LLSM) is an effective and less invasive technique for the correction of pelvic organ prolapse. We discuss the primary objectives, subjective success rate and pelvic floor ultrasound outcomes of uterus-preserving LLSM operations. Patients and Methods Seventeen patients who underwent uterus-preserving LLSM (abdominocervicopexy) in a tertiary center were included in this prospective study. Anatomical cure was defined separately for the apical and anterior compartments as a Pelvic Organ Prolapse Quantification (POP-Q) score of less than − 1 cm for each compartment. Subjective cure was defined as the absence of bulge symptoms. Patient satisfaction, sexual function, prolapse-related quality of life, voiding dysfunction, nocturia and constipation were assessed. Transperineal ultrasonography was used to measure anterior compartment mobility and hiatal anteroposterior diameter. Results The anatomical cure rate was 100% for the apical and 88.2% for the anterior compartment, with one symptomatic stage-II cystorectocele and one asymptomatic stage-II cystocele. The subjective cure and patient satisfaction scores were 94.12 and 100%, respectively. Ba and C points were significantly improved, and vaginal lengthening was 10.14 ± 4.19 mm. Bp ascent was 5.72 ± 11.27 mm (p = 0.053). Proximal urethral rotation and retrovesical angles were reduced by 6.24 ± 11.95° and 27 ± 47.2°, respectively (p1 = 0.047; p2 = 0.032). The hiatal anteroposterior diameter was shortened by 4.36% (p = 0.039). A significant improvement was seen with regard to nocturia episodes but not for constipation. No mesh exposure was observed. Conclusions Uterus-preserving LLSM (abdominocervicopexy) was found to be effective for the correction of apical and anterior prolapse with high levels of patient satisfaction. Significant improvements in urge symptoms and frequency of nocturia were observed. Pelvic floor ultrasound outcomes may be useful when comparing this procedure with other surgical techniques.

scholarly journals Modified Laparoscopic Lateral Suspension with A 5 Arm Mesh in Pelvic Organ Prolapse Surgery.

2021 ◽  
Author(s):  
Eren Akbaba
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Synthetic Mesh ◽  
Advanced Stage ◽  
Posterior Compartment ◽  
Anterior Compartment ◽  
Mesh Graft ◽  
Laparoscopic Lateral Suspension ◽  
The Mean ◽  
Pop Repair

Abstract Background: The LLS procedure is a laparoscopic technique used to treat pelvic organ prolapse (POP), performed with a T-shaped synthetic mesh graft. The posterior compartment is repaired by using a second mesh or a second procedure like posterior colporrhaphy in the LLS procedure. In laparoscopic lateral suspension (LLS) surgery, we want to repair the defect of the posterior compartment in addition to the apical and anterior compartment by using a 5-arm mesh instead of a T-shaped synthetic mesh graft. In this study, we aim to report clinical results of surgeries performed POP repair with a 5-arm mesh.Method: Data from 37 patients who underwent LLS surgery by using a 5-arm mesh with a diagnosis of advanced stage (≥ stage 3) POP and the defect of the posterior compartment were retrospectively analyzed. The postoperative examination included grading and measurement of the POP-Q stage. Surgical outcomes were reported in pursuance of the International Urogynecological Association recommendations. The results of measurements and examinations, the reoperation rates, the erosion rates, lower urinary tract symptoms (LUTS), and complications were recorded. A p-value of < 0.05 was considered to be statistically significant.Results: There was a significant improvement in POP-Q ≤ −1 score in all treated compartments with an overall objective cure rate of 95.3% for the apical compartment, 86.1% for the anterior compartment, and 91.1% for the posterior compartment. The mean operative time was 96.27±15.81 minutes. The mean length of hospitalization was 2±0.82 days. A significant improvement was observed in symptoms of the vaginal bulge, urinary urgency, incomplete voiding, urinary frequency after surgery. Also, an improvement occurred in defecation symptoms of patients after POP repair. While 13 of the patients (35.1%) were sexually active preoperatively, this rate was determined to be 59.4% (n=22) postoperatively. De novo stress urinary incontinence developed in 7 patients (18.9%) postoperatively. The POP-related quality-of-life score (PQOL) improved significantly after surgery.Conclusion: İn advanced stage POP patients undergoing laparoscopic lateral suspension procedure using a 5-arm mesh, damaged compartments including the posterior compartment can be repaired without the need for an additional procedure and the recurrence rate can be reduced.

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