Objective: Illustrating the outcomes of laparoscopic lateral suspension by mesh for pelvic organ prolapse repair.Study design: A retrospective observational study was conducted collecting medical records of 48 patients treated between May 2016 and April 2018 in two different centers in Italy. Pre- and post-operative clinical evaluations as well as patients' satisfaction scores were considered. Patients were followed for two years. Statistical analysis was determined using the chi-square test in intention-to-treat and per-protocol analyses, while Kaplan-Meier curves were built for assessing the prolapse recurrence and the symptoms recurrence. The Steel-Dwass test for pairwise comparisons was used to compare median scores from the King's General Health Perception Questionnaire answers.Results: Regarding the anatomical result, the outcome was either optimal or satisfactory (PoP-Q <= 1) at 12 months in 92% of patients for anterior compartment, in 100% for apical compartment, and in 75% for posterior compartment (intention-to-treat). Kaplan-Meier curves depicted a repair of prolapse in 70% of cases, with better outcomes for the anterior and the apical compartment. Patient self-perception of health was over 80% at each follow-up evaluation.Conclusion: Laparoscopic lateral suspension is a reasonable technique for treatment of pelvic organ prolapse. Further studies are needed to prove such a technique versus alternative surgeries. (C) 2019 Elsevier B.V. All rights reserved.

Correction of pelvic organ prolapse by laparoscopic lateral suspension with mesh: A clinical series

Martinello R.
Primo
;
Scutiero G.
Secondo
;
Cracco F.;Borghi C.;Greco P.
Ultimo
2019

Abstract

Objective: Illustrating the outcomes of laparoscopic lateral suspension by mesh for pelvic organ prolapse repair.Study design: A retrospective observational study was conducted collecting medical records of 48 patients treated between May 2016 and April 2018 in two different centers in Italy. Pre- and post-operative clinical evaluations as well as patients' satisfaction scores were considered. Patients were followed for two years. Statistical analysis was determined using the chi-square test in intention-to-treat and per-protocol analyses, while Kaplan-Meier curves were built for assessing the prolapse recurrence and the symptoms recurrence. The Steel-Dwass test for pairwise comparisons was used to compare median scores from the King's General Health Perception Questionnaire answers.Results: Regarding the anatomical result, the outcome was either optimal or satisfactory (PoP-Q <= 1) at 12 months in 92% of patients for anterior compartment, in 100% for apical compartment, and in 75% for posterior compartment (intention-to-treat). Kaplan-Meier curves depicted a repair of prolapse in 70% of cases, with better outcomes for the anterior and the apical compartment. Patient self-perception of health was over 80% at each follow-up evaluation.Conclusion: Laparoscopic lateral suspension is a reasonable technique for treatment of pelvic organ prolapse. Further studies are needed to prove such a technique versus alternative surgeries. (C) 2019 Elsevier B.V. All rights reserved.
Martinello, R.; Scutiero, G.; Stuto, A.; Indraccolo, U.; Cracco, F.; Borghi, C.; Sorrentino, F.; Nappi, L.; Greco, P.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2412881
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