Laparoscopic Sacrocolpopexy: A Comprehensive Literature Review On Current Practice

Publication date: Available online 26 December 2019Source: European Journal of Obstetrics & Gynecology and Reproductive BiologyAuthor(s): Ohad Gluck, Mija Blaganje, Nikolaus Veit-Rubin, Christian Phillips, Jan Deprest, Barry O’reilly, Igor But, Robert Moore, Stephen Jeffery, Jorge Milhem Haddad, Bruno DevalAbstractSacrocolpopexy is considered the preferred treatment for vaginal vault. However, numerous technical variants are being practiced.We aimed to summarize the recent literature in relation to technical aspects of laparoscopic sacrocolpopexy (LSC). We focused on surgical technique, mesh type, concomitant surgeries, and training aspects.We performed 2 independent literature searches in Medline, Scopus, the Cochrane library, and Embase electronic databases including the keywords: ‘sacrocolpopexy‘, ‘sacral colpopexy ‘and ‘promontofixation’. Full text English-language studies of human patients, who underwent LSC, published from January 1, 2008 to February 26, 2019, were included. Levels of evidence using the modified Oxford grading system were assessed in order to establish a report of the available literature of highest level of evidence.Initially, 953 articles were identified. After excluding duplicates and abstracts screening, 35 articles were included.Vaginal fixation of the mesh can be performed with barbed or non-barbed (level 1), absorbable or non-absorbable sutures (level 2).Fixation of the mesh to the promontory can be performed with non-absorbable sut...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research