Laparoscopic Pectopexy

Different operative approaches for the repair of a genital prolapse have been reported. However, for the reconstitution of a physiological axis of the vagina, a sacropexy seems to be the most adequate approach. We describe a method of laparoscopic apical prolapse surgery, where the lateral parts of the iliopectineal ligament are used for a bilateral mesh fixation of the descended structures. The iliopectineal ligament is a stable structure for the fixation of meshes and sutures, statistically significant stronger than the sacrospinous ligament and arcus tendinous of pelvic fascia. The incidence of defecation disorders, are reduced by a more physiological lateral fixation, which does not reduce the pelvic space. We used a single-port transumbilical device, with an additional 5 mm port, where at the end of the procedure, the drain is placed. This technique, a virtually scarless surgery, represents also, an option for women, who have an esthetic concern about scars.

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Effects of genital prolapse surgery on sexuality

Journal of Psychosomatic Obstetrics & Gynecology ◽

10.1080/01674820500245638 ◽

2006 ◽

Vol 27 (1) ◽

pp. 43-48 ◽

Cited By ~ 18

Author(s):

Jan-Paul Roovers ◽

Anske van der Bom ◽

Jules Schagen van Leeuwen ◽

Piet Scholten ◽

Peter Heintz ◽

...

Keyword(s):

Genital Prolapse ◽

Prolapse Surgery

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Short term versus conventional Catheterisation after Genital Prolapse Surgery

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v26i2.13782 ◽

2013 ◽

Vol 26 (2) ◽

pp. 68-71 ◽

Cited By ~ 3

Author(s):

Khurshida Tahmin ◽

Shamsun Nahar Begum

Keyword(s):

Hospital Stay ◽

Urine Volume ◽

Genital Prolapse ◽

Prolapse Surgery ◽

Controlled Clinical Trial ◽

Group I ◽

Short Period ◽

Group Ii ◽

Catheter Urine ◽

Randomised Controlled

This Randomised controlled clinical trial was undertaken to determine the suitable time of catheter removal after urogenital prolapse surgery in order to reduce the catheter related UTI and its long term sequel. Method: Total 80 patients undergoing vaginal hysterectomy with pelvic floor repair were enrolled and randomised into two equal groups by lottery method. Trans-urethral catheter was removed on 2nd & 5th post operative day in group I (n=40) and in group II (n=40) respectively. Post voidal residual urine volume before operation and after removal of catheter was measured in all patients by ultrasound scanning. Re-catheterisation was done for three more days if residual volume > 200ml after removal of catheter. Urine samples were taken before removal of catheter and send for routine microscopic examination and culture & sensitivity test to detect UTI.Results: Removal of catheter on 2nd post-operative day lead to significant reduction of rate of UTI. The rate of UTI following removal of catheter was 7.5% versus 42.5% in group I and in group II (p<0.001). But need for recatheterisation was significantly higher in group I (15%) than in group II (2.5%). The mean duration of catheterisation was 47.63 (±0.628) and 119.35 (±0.864) hours in group I and group II respectively. Majority of the patients in group I did not require prolongation of catheterisation. Mean duration of hospital stay after operation was 5 days in group I and 7.95 days in group II (p<0.001). Conclusion: Short period catheterisation is associated with lower rate of UTI and shorter hospital stay. Disadvantages of prolonged catheterisation outweigh the advantages. Therefore removal of the catheter on the 2nd post-operative day after genital prolapse surgery is preferable than 5 days catheterization DOI: http://dx.doi.org/10.3329/bjog.v26i2.13782 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2) : 68-71

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Biomechanical properties of prolapsed or non-prolapsed vaginal tissue: impact on genital prolapse surgery

International Urogynecology Journal ◽

10.1007/s00192-010-1208-z ◽

2010 ◽

Vol 21 (12) ◽

pp. 1535-1538 ◽

Cited By ~ 49

Author(s):

Clay Jean-Charles ◽

Chrystèle Rubod ◽

Mathias Brieu ◽

Malik Boukerrou ◽

Jean Fasel ◽

...

Keyword(s):

Genital Prolapse ◽

Biomechanical Properties ◽

Prolapse Surgery ◽

Vaginal Tissue

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Fibrin glue versus staple mesh fixation in single-port laparoscopic totally extraperitoneal inguinal hernia repair: A propensity score-matched analysis

International Journal of Surgery ◽

10.1016/j.ijsu.2018.01.029 ◽

2018 ◽

Vol 53 ◽

pp. 32-37 ◽

Cited By ~ 1

Author(s):

Byung Jo Choi ◽

Won Jun Jeong ◽

Sang Chul Lee

Keyword(s):

Inguinal Hernia ◽

Propensity Score ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Fibrin Glue ◽

Single Port ◽

Mesh Fixation ◽

Totally Extraperitoneal

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Iatrogenic endometriosis following apical pelvic organ prolapse surgery: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-019-2327-x ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Alkan Cubuk ◽

Orkunt Ozkaptan ◽

Jörg Neymeyer

Keyword(s):

Case Report ◽

Pelvic Organ Prolapse ◽

De Novo ◽

Pelvic Organ ◽

Prolapse Surgery ◽

Uterine Disease ◽

Apical Prolapse ◽

Sacral Promontory ◽

Laparoscopic Supracervical Hysterectomy ◽

Supracervical Hysterectomy

Abstract Background Iatrogenic endometriosis is the presence of endometrial glands and stroma out of the uterus following certain surgical interventions. The rate of iatrogenic endometriosis after gynecologic surgeries due to benign uterine disease is 1–2%. Laparoscopic supracervical hysterectomy is also a part of frequently used surgical treatment of apical pelvic organ prolapse, which is followed by sacrocervicopexy. However, there are no data about iatrogenic endometriosis after apical prolapse surgery in the current literature. Herein, we present a case report of a patient diagnosed with de novo endometriosis 1 year after laparoscopic supracervical hysterectomy and sacrocervicopexy. Case presentation A 46-year-old parous Slavic woman who underwent laparoscopic supracervical hysterectomy and sacrocervicopexy secondary to grade 3 symptomatic apical prolapse 1 year earlier was admitted to the same clinic with pelvic pain that had started 6 months following surgery. Deep vaginal palpation was painful. Transvaginal ultrasonography revealed an area with hypervascularization on the sacral promontory. She was scheduled for diagnostic laparoscopy. A 2 × 2-cm solid, wine-colored, hypervascular hemorrhagic lesion was seen on the sacral promontory. The lesion and the peritoneal layer behind it were totally excised. The patient was discharged on the first postoperative day, without any complications. Pathologic examination revealed foci of endometriosis comprising endometrial glands and stroma within the connective tissue, along with hemosiderin-laden macrophages. The symptoms of the patient resolved after the surgery, and no further adjuvant treatment was needed. Conclusion Although the rate of iatrogenic endometriosis is low after laparoscopic supracervical hysterectomy and sacrocervicopexy, the possibility of the occurrence of iatrogenic endometriosis should be discussed with patients who are diagnosed with apical prolapse to determine the type of surgical intervention. Iatrogenic endometriosis should be kept in mind for differential diagnosis in case of pain after laparoscopic supracervical hysterectomy and sacrocervicopexy.

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