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Journal Article
Research Support, Non-U.S. Gov't
Long-term results of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy for uterovaginal prolapse.
Journal of Minimally Invasive Gynecology 2009 November
STUDY OBJECTIVE: To evaluate the long-term outcomes of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in high-grade uterovaginal prolapse.
DESIGN: Retrospective analysis of medical records (Canadian Task Force Classification II-3).
SETTING: University clinic center.
PATIENTS: Fifty-one patients with grade 3 (22 patients) or 4 (29 patients) uterovaginal prolapse.
INTERVENTIONS: We performed laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in 51 patients with grade 3 or 4 uterovaginal prolapse.
MEASUREMENTS AND MAIN RESULTS: After a mean follow-up of 59.0 months (95% CI, 56.3-61.7), 51 patients (100.0%) had no sign or recurrence of prolapse. Postoperative transient abdominal discomfort, voiding difficulty, and vaginal spotting developed in 4 patients (7.8%), 2 patients (3.9%), and 1 patient (2.0%), respectively.
CONCLUSION: Laparoscopic colposuspension using bilateral round-infundibulopelvic ligaments after hysterectomy could be an effective surgical option in the treatment of high-grade uterovaginal prolapse.
DESIGN: Retrospective analysis of medical records (Canadian Task Force Classification II-3).
SETTING: University clinic center.
PATIENTS: Fifty-one patients with grade 3 (22 patients) or 4 (29 patients) uterovaginal prolapse.
INTERVENTIONS: We performed laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in 51 patients with grade 3 or 4 uterovaginal prolapse.
MEASUREMENTS AND MAIN RESULTS: After a mean follow-up of 59.0 months (95% CI, 56.3-61.7), 51 patients (100.0%) had no sign or recurrence of prolapse. Postoperative transient abdominal discomfort, voiding difficulty, and vaginal spotting developed in 4 patients (7.8%), 2 patients (3.9%), and 1 patient (2.0%), respectively.
CONCLUSION: Laparoscopic colposuspension using bilateral round-infundibulopelvic ligaments after hysterectomy could be an effective surgical option in the treatment of high-grade uterovaginal prolapse.
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