Surgical Outcomes of a Combined Surgical Approach for Apical Prolapse Repair

Author(s)

Brito, Luiz Gustavo Oliveira ; Cohen, Sarah Lauren ; Tusheva, Olga ; Kohli, Neeraj ; Morse, Abraham ; Goggins, Emily Rose ; Einarsson, Jon Ivar

• Document type: Journal article
• Source: Revista Brasileira de Ginecologia e Obstetrícia; v. 38, n. 8, p. 405-411, AUG 2016.
• Web of Science Citations: 0

Abstract

Abstract 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. (AU)

• FAPESP's process: 13/25956-0 - Subtotal laparoscopic hysterectomy x total laparoscopic hysterectomy for imediate and late postoperative outcomes: a randomized controlled trial
• Grantee: Luiz Gustavo Oliveira Brito
• Support Opportunities: Scholarships abroad - Research