Laparoscopic sacrocolpopexy using Seratex Slimsling: pilot study
Language English Country Czech Republic Media print
Document type Journal Article
PubMed
31948248
PII: 119860
Knihovny.cz E-resources
- Keywords
- Seratex Slimsling, laparoscopic sacrocolpopexy, prolapse,
- MeSH
- Length of Stay MeSH
- Adult MeSH
- Gynecologic Surgical Procedures methods MeSH
- Laparoscopy methods MeSH
- Middle Aged MeSH
- Humans MeSH
- Intraoperative Complications MeSH
- Pilot Projects MeSH
- Postoperative Complications MeSH
- Pelvic Organ Prolapse etiology surgery MeSH
- Sacrococcygeal Region surgery MeSH
- Aged MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
OBJECTIVE: To describe a new technique of laparoscopic sacrocolpopexy using material Seratex Slimsling. DESIGN: Pilot study. SETTING: Department of Obstetrics and Gynecology, Vyškov Hospital; Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, Palacky University, University Hospital Olomouc. METHODS: Using a laparoscopically inserted Seratex Slimsling material, we performed a sacrocolpopexy in 12 patients with pelvic prolapse between November 2018 and June 2019. All patients were operated at the same workplace by the same surgeon with experience in advanced laparoscopic surgery. We monitored age, parity, BMI, previous hysterectomy, surgical time, blood loss, type of concomitant surgery, length of hospitalization and incidence of peroperative and postoperative complications in the pilot group of patients Results: Patients included in the pilot study were 53.2 ± 10.0 (34-74) years old, BMI 24.7 ± 4.2, parity 1.92 (95.7% of whom were vaginal births) and in 5 cases (41.7%) previous hysterectomy was performed. The mean duration of surgery was 58.4 ± 6.6 min in cases without hysterectomy and 102 ± 4.9 in patients with concomitant hysterectomy. The mean blood loss was 93 ± 78.8 ml and the length of hospitalization was 5.25 ± 0.72 days. There was no injury to large vessels or ureters during any operation and none of the operations was converted to laparotomy. In one case, the implant slipped from the sacrouterine ligaments area and subsequently the vaginal stump prolapse recurred three months after the primary operation. The patient was re-operated six months after the primary operation using the same technique and has been without any problems until now. In the monitored postoperative period, we did not notice any protrusion of the implant or significant dyspareunias or discomfort in any of the patients. Apart from one patient mentioned above, the method did not fail. CONCLUSION: Laparoscopy has had an irreplaceable role in gynecological surgery for pelvic prolapse since 1993. It is possible to perform laparoscopic sacrocolpopexy with high success rate nad minimal incidence of complications with the use of Seratex Slimsling.