ORIGINAL ARTICLES   

Minerva Ginecologica 2006 October;58(5):405-10

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

Promontofissazione laparoscopica: valutazione di 100 casi

Salvatores M. ^{1, 2}, Pellegrini P. ¹, Botchorishvili R. ¹, Canis M. ¹, Pouly J. L. ¹, Mage G. ¹, Wattiez A. ^{1, 2}

¹ Polyclinique de l’Hotel Dieu University of Clermont-Ferrand Clermont-Ferrand, France 2 IRCAD-EITS University of Strasbourg, Strasbourg, France

Aim. Aim of the study is to evaluate long term results of 100 patients treated laparoscopically to repair genital prolapse and urinary incontinence.
Methods. A retrospective review analysis of 100 women, who underwent laparoscopic genital prolapse repair at Primary Referral University Hospital in Clermont-Ferrand. Patients characteristics, preoperatory exams, intraoperative, postoperative and outpatient clinic data were collected and analyzed.
Results. The mean operative time was 172 minutes. One laparotomy conversion was required, due to a technical problem. The mean hospitalization stay was 4.7 days. Two patients required a reintervention during their hospitalization stay, due to a complication. All the patients were reviewed during the 6 months later the intervention. The follow-up is between 6 months and 3 years. The average degree of cystocele and hysterocele was ameliorated from stage 3 to stage 0, the average stage of rectocele was ameliorated from stage 2 to stage 0, finally the average stage of vault prolapse was ameliorated from stage 1 to stage 0. The incidence of genuine stress incontinence was 47% in the preoperative time and only 4% at the long follow-up. We had a total 4% rate of mesh vaginal erosion.
Conclusions. The laparoscopic sacrocolpopexy is an effective and safe technique to repair the major pelvic prolapses.