Sunday, September 2, 2018

Laparoscopic Sacrocolpopexy - A Retrospective Study by Kavitha D Yogini in BJSTR

Abstract

Post-hysterectomy vaginal vault prolapsed is a common complication following different types of hysterectomy which can lead to significant urinary, anorectal and sexual impairment in the patients. Pre existing pelvic floor defect is the most important predicting factor in the future development of vaginal vault prolapse. Preventive measures can be taken intraoperatively to reduce the incidence of later development of vault prolapse but the possibility cannot be eliminated completely. Both vaginal and abdominal approaches have been advocated for the correction of vault prolapse. With the abdominal approach, the results are better and recurrence is less. However, recovery time is more and the procedure requires a lot of bowel manipulation. Laparoscopic sacrocolpopexy can circumvent the disadvantages of open abdominal approach while retaining its advantages of great patient satisfaction and less recurrence. Being a minimally invasive procedure, lap sacrocolpopexy allows for less blood loss and speedy recovery. Here, we present a retrospective analysis of 25 cases of laparoscopic sacrocolpopexy over 2 years.




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