Bibliographic Details
| Title: |
Surgical Outcomes of a Combined Surgical Approach for Apical Prolapse Repair |
| Authors: |
Brito, Luiz Gustavo Oliveira, Cohen, Sarah Lauren, Tusheva, Olga, Kohli, Neeraj, Morse, Abraham, Goggins, Emily Rose, Einarsson, Jon Ivar |
| Source: |
Revista Brasileira de Ginecologia e Obstetrícia. August 2016 38(8) |
| Publisher Information: |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2016. |
| Publication Year: |
2016 |
| Subject Terms: |
sacrocolpopexy, operative time, combined surgery, apical prolapse |
| More Details: |
Introduction We aimed to evaluate the safety, efficacy and surgical outcomes of combined laparoscopic/vaginal prolapse repair by two surgeons. Material and Methods A retrospective chart review of all patients (n =135) who underwent apical prolapse repair from February 2009 to December 2012 performed in a collaborative manner by a Minimally Invasive Gynecologic Surgeon and a Urogynecologist. Demographic data (age, body mass index [BMI], race, gravidity, parity) and surgical information (estimated blood loss, operative time, intraoperative complications, readmission and reoperation rates, presence of postoperative infection) were collected. Results The majority of patients were postmenopausal (58.91%), multiparous (mean parity =2.49) and overweight (mean BMI =27.71). Nearly 20% had previous prolapse surgery. The most common surgical procedure was laparoscopic supracervical hysterectomy (LSH) with sacrocervicopexy (59.26%), and the most common vaginal repair was of the posterior compartment (78.68%). The median operative time was 149 minutes (82-302), and the estimated blood loss was 100 mL (10-530). Five intraoperative complications, five readmissions and four reoperations were noted. Performance of a concomitant hysterectomy did not affect surgical or anatomical outcomes. Conclusion Combination laparoscopic/vaginal prolapse repair by two separate surgeons seems to be an efficient option for operative management. |
| Document Type: |
article |
| File Description: |
text/html |
| Language: |
English |
| ISSN: |
0100-7203 |
| DOI: |
10.1055/s-0036-1586747 |
| Access URL: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032016000800405 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edssci.S0100.72032016000800405 |
| Database: |
SciELO |
