Short-term Outcomes of Nonrobotic Single-incision Laparoscopic Sacrocolpopexy: A Surgical Technique

This study consisted of a retrospective analysis of 49 consecutive cases.SettingThis study was set at the Third Affiliated Hospital of Guangzhou Medical University from October 2016 to November 2017.PatientsThe population for this study consisted of women with stage II to IV POP who met eligibility criteria for laparoscopic surgery.InterventionsS-LSC included the use of V-loc barbed suture and retroperitoneal tunneling, in addition to standard single-incision laparoscopic surgery techniques. All 49 cases were successfully completed. All cases included concomitant procedures; 42 (85.7%) had removal of the uterus and adnexa. The main measured outcomes include patient characteristics, perioperative outcomes, and change in pelvic floor support (Pelvic Organ Prolapse Quantification System), and quality of life (Pelvic Floor Impact Questionnaire).Measurements and Main ResultsAll patients were parous, and 42.9% had a history of previous abdominal surgery. The mean operative duration from skin to skin was 201.20 ± 46.53 minutes. The mean estimated blood loss was 27.0 ± 16.6 mL. The mean pre- and post-operative Pelvic Organ Prolapse Quantification System scores were 2.2 ± 1.1 cm versus −2.6 ± 0.5 cm for the Aa point and 3.2 ± 2.8 cm versus −4.6 ± 0.8 cm for the C point (p
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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ConclusionsIn conclusion, we believe this procedure has good results in short term follow up (3 months after surgery), but a high recurrence rate in the middle term follow up. Therefore, this procedure is no longer recommended.ResumoIntroduçãoA taxa de recorrência do prolapso de órgãos pélvicos é uma questão importante que afeta a qualidade de vida do paciente, resultando em um novo procedimento cirúrgico. Os autores adotaram uma nova técnica de suspensão laparoscópica de órgãos pélvicos (suspensão retal) no trata...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
AbstractIntroduction and hypothesisMidurethral slings (MUS) are an established treatment for stress urinary incontinence (SUI), with good objective outcomes and low rates of complications. However, large population-based registry studies highlighted long-term complications from polypropylene slings including erosion, dyspareunia and chronic pain. With recent highly negative media coverage, many women are presenting with chronic pain attributed to the mesh to request complete removal. The available literature provides limited evidence on safety, symptom resolution and incontinence following MUS removal.MethodsWe identified ...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
ConclusionsThe use of Endofast SCP fasteners for laparoscopic promonto-fixation is a safe and effective surgery. Longer follow-up and larger studies should be performed to establish the results.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Conclusions There is wide variation in the range of MME prescribed postoperatively to patients undergoing common urogynecologic surgeries. Less than two thirds of patients received a postoperative NSAID prescription, which was found to be independently associated with a higher postoperative opioid prescription dose.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research
Publication date: January 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 1Author(s): Kristin A. Riley, Andrea S. Benton, Timothy A. Deimling, Allen R. Kunselman, Gerald J. HarkinsAbstractStudy ObjectiveTo compare surgical excision and ablation of endometriosis for treatment of chronic pelvic pain.DesignRandomized clinical trial with 12-month follow-up (Canadian Task Force classification I).SettingSingle academic tertiary care hospital.PatientsWomen with minimal to mild endometriosis undergoing laparoscopy.InterventionsExcision or ablation of superficial endometriosis at the time of robot-assisted la...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Authors: Noé GK, Alkatout I, Schiermeier S, Soltécz S, Anapolski M Abstract INTRODUCTION: Traditionally, a cystocele caused by a midline defect of the pelvic fascia is treated by vaginal fascia duplication, also known as anterior colporraphy. The rectocele is managed by suturing the posterior fascia and, frequently, the levator ani muscles. We developed the approach of laparoscopic anterior and posterior fascia repair by native tissue. MATERIAL AND METHODS: The methods were based on anterior and posterior exposure of pelvic fascia similar to the preparation of an extended sacral colpopexy. The fas...
Source: Minimally Invasive Therapy and Allied Technologies - Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
Publication date: Available online 11 July 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Haider Jan, Vishalli Ghai, Ranee ThakarABSTRACTStudy ObjectiveTo demonstrate laparoscopic colposuspension for recurrent stress incontinence after failed tension-free vaginal tape (TVT).DesignA technical video showing laparoscopic colposuspension for previously surgically treated stress incontinence (Canadian Task Force classification III).SettingA university hospital.PatientA 58-year-old woman with previous TVT presents with recurrent stress urinary incontinence.Measurements and Main ResultsMidurethral slings have equi...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
DiscussionMid-urethral slings (MUS) have equivalent cure rates to the more invasive colposuspension. They are preferentially used for stress urinary incontinence (SUI) despite a mesh erosion rate of 3.5% with 2.5% requiring further surgery, sling removal, or revision over 9 years. 1, 2 Recent negative publicity concerning synthetic mesh tape has led to a resurgence of interest in mesh free alternatives, including urethral bulking agents, rectus fascia slings and colposuspension. Laparoscopic colposuspension is a well-established minimally-invasive surgery that avoids synthetic mesh, with a quicker recovery, less scarring, ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Abstract AIM: To compare the efficacy, improved quality of life, and prognosis in patients undergoing either subtotal colonic bypass with antiperistaltic cecoproctostomy (SCBAC) or subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy (SCBCAC) for the treatment of slow transit constipation. METHODS: Between October 2010 and October 2014, aged patients with slow transit constipation who were hospitalized and underwent laparoscopic surgery in our institute were divided into two groups: the bypass group, 15 patients underwent SCBAC, and the bypass plus colostomy group, 14 patients underwent...
Source: World Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
ConclusionsColectomy with TRSE is feasible and seems safe in selected patients. Reported outcomes seem in general similar to conventional laparoscopic colectomy with a possible benefit in postoperative pain and length of hospital stay. Obvious selection bias and lack of high quality trials do not allow firm conclusions to be drawn.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research
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