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Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes.
J Minim Invasive Gynecol 2010 Nov-Dec; 17(6):749-53JM

Abstract

BACKGROUND

In women with a retroverted uterus, who have dyspareunia, chronic pelvic pain, or dysmenorrhea, laparoscopic ventrosuspension of the uterus has been reported effective in achieving symptom relief.

STUDY OBJECTIVE

To critically review our experience with our method of laparoscopic ventrosuspension.

DESIGN

Cohort study (Canadian Task Force classification II-3).

SETTING

Tertiary care center.

PATIENTS

Sixty-three women who had undergone laparoscopic ventrosuspension for treatment of pain syndromes during 1995 through 2008.

INTERVENTIONS

Laparoscopic ventrosuspension, and a questionnaire about the long-term outcome of the operation.

MEASUREMENTS AND MAIN RESULTS

There were no adverse events except for 2 repeat operations within 3 postoperative days. Forty-nine women (77.8%) answered the questionnaire about long-term outcome, and in these patients, significant pain relief was achieved (p <.001). Pain levels decreased, based on a numeric rating scale, from a mean (SD) of 6.35 (1.92) to 0.97 (1.40) in patients without endometriosis, and from 6.93 (2.09) to 3.80 (2.08) in those with endometriosis. Of 34 patients without endometriosis, 1 (2.9%) stated that the operation had not led to symptom relief, compared with 4 of 15 (26.7%) with endometriosis (p = .03).

CONCLUSION

Laparoscopic ventrosuspension is clearly beneficial in women with a retroverted and retroflected uterus who have pelvic pain syndromes, even in the long term.

Authors+Show Affiliations

Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. johannes.ott@meduniwien.ac.atNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20955984

Citation

Ott, J, et al. "Fourteen-year Experience With Laparoscopic Ventrosuspension in Patients With Retroverted and Retroflected Uterus and Pelvic Pain Syndromes." Journal of Minimally Invasive Gynecology, vol. 17, no. 6, 2010, pp. 749-53.
Ott J, Nouri K, Demmel M, et al. Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes. J Minim Invasive Gynecol. 2010;17(6):749-53.
Ott, J., Nouri, K., Demmel, M., Zafraani, S., Greilberger, U., Huber, J. C., & Mayerhofer, K. (2010). Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes. Journal of Minimally Invasive Gynecology, 17(6), pp. 749-53. doi:10.1016/j.jmig.2010.07.015.
Ott J, et al. Fourteen-year Experience With Laparoscopic Ventrosuspension in Patients With Retroverted and Retroflected Uterus and Pelvic Pain Syndromes. J Minim Invasive Gynecol. 2010;17(6):749-53. PubMed PMID: 20955984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes. AU - Ott,J, AU - Nouri,K, AU - Demmel,M, AU - Zafraani,S, AU - Greilberger,U, AU - Huber,J C, AU - Mayerhofer,K, PY - 2010/04/27/received PY - 2010/07/16/revised PY - 2010/07/28/accepted PY - 2010/10/20/entrez PY - 2010/10/20/pubmed PY - 2011/5/25/medline SP - 749 EP - 53 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 17 IS - 6 N2 - BACKGROUND: In women with a retroverted uterus, who have dyspareunia, chronic pelvic pain, or dysmenorrhea, laparoscopic ventrosuspension of the uterus has been reported effective in achieving symptom relief. STUDY OBJECTIVE: To critically review our experience with our method of laparoscopic ventrosuspension. DESIGN: Cohort study (Canadian Task Force classification II-3). SETTING: Tertiary care center. PATIENTS: Sixty-three women who had undergone laparoscopic ventrosuspension for treatment of pain syndromes during 1995 through 2008. INTERVENTIONS: Laparoscopic ventrosuspension, and a questionnaire about the long-term outcome of the operation. MEASUREMENTS AND MAIN RESULTS: There were no adverse events except for 2 repeat operations within 3 postoperative days. Forty-nine women (77.8%) answered the questionnaire about long-term outcome, and in these patients, significant pain relief was achieved (p <.001). Pain levels decreased, based on a numeric rating scale, from a mean (SD) of 6.35 (1.92) to 0.97 (1.40) in patients without endometriosis, and from 6.93 (2.09) to 3.80 (2.08) in those with endometriosis. Of 34 patients without endometriosis, 1 (2.9%) stated that the operation had not led to symptom relief, compared with 4 of 15 (26.7%) with endometriosis (p = .03). CONCLUSION: Laparoscopic ventrosuspension is clearly beneficial in women with a retroverted and retroflected uterus who have pelvic pain syndromes, even in the long term. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/20955984/Fourteen-year_experience_with_laparoscopic_ventrosuspension_in_patients_with_retroverted_and_retroflected_uterus_and_pelvic_pain_syndromes L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(10)00376-6 DB - PRIME DP - Unbound Medicine ER -