Τίτλος:
The Role of Laparoscopic Surgery in the Treatment of Advanced Uterine
Prolapse: A Systematic Review of the Literature
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The aim of this review is to investigate and compare all laparoscopic
techniques that can be used in the surgical repair of advanced uterine
prolapse. A systematic search of the PubMed, Scopus, Cochrane CENTRAL,
and Clinicaltrials.gov databases was performed for articles published up
to December 2020, reporting data on the treatment of severe uterine
prolapse using laparoscopic procedures. Only studies in the English
language, with a patient sample of >= 20 and a follow-up time of >= 12
months were included. The final synthesis of this review consisted of
six studies. The main laparoscopic procedures reported were vaginally
assisted laparoscopic sacrocolpopexy, vaginally assisted laparoscopic
uterine sacropexy, laparoscopic sacrocolpopexy with laparoscopic
supracervical hysterectomy, laparoscopic inguinal ligament suspension
with uterine preservation, and laparoscopic uterosacral ligament
suspension combined with trachelectomy. All procedures involved mesh
placement, except for laparoscopic uterosacral ligament suspension. All
procedures reported anatomical cure rates > 90%. Vaginally assisted
laparoscopic sacrocolpopexy had the largest amount of intraoperative
blood loss whilst vaginally assisted laparoscopic uterine sacropexy was
associated with bladder injuries intraoperatively. All vaginally
assisted procedures reported cases of mesh extrusion postoperatively.
Laparoscopic inguinal ligament suspension was the operation with the
longest mean operative and hospitalization time. Conversions were not
reported. The present study shows that minimally invasive surgery can be
used efficiently as an alternative to open surgery in the treatment of
severe uterine prolapse.
Συγγραφείς:
Rountis, Argirios
Zacharakis, Dimitris
Athanasiou, Stavros and
Kathopoulis, Nikolaos
Grigoriadis, Themos
Περιοδικό:
CUREUS JOURNAL OF MEDICAL SCIENCE
Λέξεις-κλειδιά:
severe pelvic organ prolapse; advanced pelvic organ prolapse; uterine
prolapse; laparoscopy; laparoscopic surgery
DOI:
10.7759/cureus.18281
