JOURNAL ARTICLE
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Laparoscopic modified sacral hysteropexy: initial experience with an original surgical approach to uterovaginal prolapse.

STUDY OBJECTIVE: To evaluate the feasibility of a modified laparoscopic approach to correct uterovaginal prolapse using cervical cerclage tape to attach the uterine isthmus to the sacral promontory.

DESIGN: Retrospective study (Canadian Task Force classification III).

SETTING: Tertiary referral center.

PATIENTS: From January 2011 to February 2013, 33 patients underwent laparoscopic modified sacral hysteropexy with use of cervical cerclage tape at West China Second University Hospital. All patients had stage 2 to 4 uterovaginal prolapse according to the Pelvic Organ Prolapse Quantification System.

MEASUREMENTS AND MAIN RESULTS: The outcome was assessed via preoperative and postoperative pelvic examinations, and the surgical results were evaluated. The mean operative time was 90.0 minutes, and blood loss was 80.5 mL. No intraoperative or postoperative complications occurred. At the minimum 6-month follow up, all patients had prolapse of stage I or lower.

CONCLUSIONS: After larger trials are performed to assess the safety and efficacy of this modified laparoscopic sacral hysteropexy, this novel approach might be considered as an alternative treatment option in patients with uterovaginal prolapse.

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