Medium-Term Anatomical and Functional Results of Isolated Laparoscopic Sacrocolpopexy for Female Pelvic Organ Prolapse d
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INSTRUMENTATION AND TECHNIQUES
Medium‑Term Anatomical and Functional Results of Isolated Laparoscopic Sacrocolpopexy for Female Pelvic Organ Prolapse during the Early Learning Curve Shashank Shekhar1 · Shuchita Goyal1 · Manu Goel1 · Charu Sharma1 · Manisha Jhirwal1 Received: 21 April 2020 / Accepted: 31 August 2020 © Federation of Obstetric & Gynecological Societies of India 2020
Abstract Background Laparoscopic repair of female pelvic organ prolapse is a technically challenging surgery, especially for the beginners. Methods We performed a follow-up study of women who underwent laparoscopic sacrocolpopexy or sacrohysteropexy (LSCP/LSHP) for pelvic organ prolapse between January 2015 and October 2019. We analysed anatomical and subjective success rates, peri-operative complications and medium-term complications. Results Twenty women underwent LSCP/LSHP with average follow-up of 16 months. Anatomical success rate was 95%, and subjective success rate was 90%. Blood loss averaged at 24 ml. Majority of women (90%) reported improvement in their symptoms and 10% reported no change in symptoms. There were no mesh complications. Conclusion Laparoscopic sacrocolpopexy is an effective and safe surgery for female pelvic organ prolapse even by beginners. Keywords Pelvic organ prolapse · Laparoscopic sacrocolpopexy · Sacrohysteropexy
Introduction
Shashank Shekhar is Additional Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. Shuchita Goyal is a Senior Resident, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. Manu Goel is Associate Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. Charu Sharma is Associate Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. Manisha Jhirwal is Assistant Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Female pelvic organ prolapse (POP) is quite common; however, not all females undergo surgical correction of POP at present. The number of women undergoing POP repair surgery is expected to rise sharply in the next three decades due to increasing prevalence and demand. Moreover, because of ever increasing awareness, women will demand most durable and least morbid procedures. Female POP repair can be performed by vaginal, open or laparoscopic routes. Vaginal hysterectomy with pelvic floor repair remains the preferred treatment for female POP in India. Numerous factors might be responsible for overwhelming reliance on vaginal route surgery for POP other than the merit of the procedure, such as lack of awareness among patients and treating physicians,
* Shashank Shekhar [email protected]
Manisha Jhirwal [email protected]
Shuchita Goyal [email protected]
1
Manu Goel [email protected]
Department of Obstetrics and Gynecology, All India Ins
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