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Patients referred for pelvic reconstructive surgery frequently present with combined anterior and apical vaginal wall prolapse. Previous studies found that anterior compartment involvement is the most common and serious defect that occurs with an apical defect. To address this, many surgeons will conduct concomitant surgeries in addition to sacrocolpopexy or pectopexy. This prospective pilot study was conducted to explore the surgical outcomes and safety of an innovative laparoscopic uterine pectopexy technique using inverted T-meshes for simultaneous apical and anterior vaginal repair.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pectopexy | Laparoscopic pectopexy with inverted T-mesh for concomitant anterior and apical vaginal prolapse repair |
| |
| Sacrocolpopexy | Laparoscopic sacrocolpopexy with double mesh for pelvic organ prolapse repair |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic pectopexy | Procedure | Laparoscopic pectopexy with inverted T-mesh for concomitant apical and anterior vaginal wall prolapse repair |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pelvic Organ Prolapse Anatomical Outcome | Anatomic outcomes were assessed by evaluating the pre- and post-operative prolapse stages as evaluated by the Pelvic Organ Prolapse Quantification (POP-Q) system. The plane of the hymen was defined as zero, all measures are in centimeters proximal (negative number) and distal (positive number) to the hymen. The more positive the number, the more severe the prolapse. | 1 year post-operation |
| Rate of distress caused by pelvic floor symptoms | These outcomes were assessed pre- and post-operation via the Pelvic Floor Distress Inventory (PFDI-20) questionnaire. Higher scores indicated greater symptom distress. | 1 year post-operation |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of surgical complications | Complications arising from the hospital or operative course | 1 year post-operation |
| Rate of Reoperations | The number of reoperations that were needed due to the recurrence of pelvic organ prolapse found within 1 year post-operation |
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Inclusion Criteria:
Exclusion Criteria:
Female with female pelvic organs
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Women with a symptomatic uterine prolapse ≧ POP-Q stage 2 in patients who wished to retain the uterus and who were willing to undergo surgical pelvic organ prolapse repair.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chung Shan Medical University Hospital | Taichung | 40201 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29914258 | Background | Biler A, Ertas IE, Tosun G, Hortu I, Demir A, Taner CE, Ozeren M, Sendag F. Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, sacrospinous ligament fixation, and iliococcygeus fixation procedures. Turk J Med Sci. 2018 Jun 14;48(3):602-610. doi: 10.3906/sag-1712-203. | |
| 34406417 |
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| Laparoscopic sacrocolpopexy | Procedure | Laparoscopic sacrocolpopexy with double mesh for pelvic organ prolapse repair |
|
| 1 year post-operation |
| Chuang FC, Chou YM, Wu LY, Yang TH, Chen WH, Huang KH. Laparoscopic pectopexy: the learning curve and comparison with laparoscopic sacrocolpopexy. Int Urogynecol J. 2022 Jul;33(7):1949-1956. doi: 10.1007/s00192-021-04934-4. Epub 2021 Aug 18. |
| 20096499 | Background | Akladios CY, Dautun D, Saussine C, Baldauf JJ, Mathelin C, Wattiez A. Laparoscopic sacrocolpopexy for female genital organ prolapse: establishment of a learning curve. Eur J Obstet Gynecol Reprod Biol. 2010 Apr;149(2):218-21. doi: 10.1016/j.ejogrb.2009.12.012. Epub 2010 Jan 21. |
| 34125240 | Background | Grinstein E, Abdelkhalek Y, Veit-Rubin N, Gluck O, Deval B. Long term outcomes of laparoscopic sacro/colpo-hysteropexy with and without rectopexy for the treatment of prolapse. Int Urogynecol J. 2022 Feb;33(2):343-350. doi: 10.1007/s00192-021-04868-x. Epub 2021 Jun 14. |
| 34909379 | Background | Kotani Y, Murakamsi K, Kai S, Yahata T, Kanto A, Matsumura N. Comparison of Surgical Results and Postoperative Recurrence Rates by Laparoscopic Sacrocolpopexy with Other Surgical Procedures for Managing Pelvic Organ Prolapse. Gynecol Minim Invasive Ther. 2021 Nov 5;10(4):221-225. doi: 10.4103/GMIT.GMIT_127_20. eCollection 2021 Oct-Dec. |
| 37493538 | Background | Maher C, Yeung E, Haya N, Christmann-Schmid C, Mowat A, Chen Z, Baessler K. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2023 Jul 26;7(7):CD012376. doi: 10.1002/14651858.CD012376.pub2. |
| 41741609 | Derived | Yang E, Tsai CP, Shen PS, Ying TH, Lee TH, Chen GD, Liao YH, Hung MJ. One-year outcomes of an innovative laparoscopic pectopexy procedure using inverted T-mesh for treatment of advanced uterine and anterior vaginal prolapse. Sci Rep. 2026 Feb 26;16(1):11202. doi: 10.1038/s41598-026-40730-0. |
| ID | Term |
|---|---|
| D056887 | Pelvic Organ Prolapse |
| ID | Term |
|---|---|
| D011391 | Prolapse |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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