Tags

Type your tag names separated by a space and hit enter

A review on the role of laparoscopic sacrocervicopexy.
Curr Opin Obstet Gynecol. 2014 Aug; 26(4):281-9.CO

Abstract

PURPOSE OF REVIEW

To provide an update on the outcomes and complications of laparoscopic (or robot-assisted) sacrocervicopexy with and without supracervical hysterectomy, and highlight the differences with sacrocolpopexy technique based on the most recent evidence.

RECENT FINDINGS

Laparoscopic and robot-assisted sacrocervicopexy with supracervical hysterectomy and sacrohysteropexy have good success rates, with a mean objective success rate of 96% (range 90-100%), subjective success rates of 80-95% and mean reoperation rate of 3%. Also, pelvic symptoms and quality of life improved after laparoscopic sacrocervicopexy. These results are similar to laparoscopic and abdominal sacrocolpopexy, and are confirmed by the results of two comparative studies. Mesh erosion risk is very low in patients treated with laparoscopic sacrocervicopexy. Studies that compare laparoscopic sacrocolpopexy with concomitant total hysterectomy and sacrocervicopexy with subtotal hysterectomy show that total hysterectomy is associated with a greater prevalence of vaginal mesh exposure when compared with a subtotal hysterectomy. In case of sacralpexy, if it is decided to proceed with a hysterectomy, it is recommended to limit this to a subtotal.

SUMMARY

The benefits of laparoscopic sacrocervicopexy with or without supracervical hysterectomy in terms of outcomes and reduced risk of mesh erosion in comparison with sacrocolpopexy and concomitant total hysterectomy have to be confirmed by randomized controlled trials. Moreover, standardization of surgical technique is mandatory.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Santo Spirito Hospital, Pescara, Italy.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24950123

Citation

Rosati, Maurizio, et al. "A Review On the Role of Laparoscopic Sacrocervicopexy." Current Opinion in Obstetrics & Gynecology, vol. 26, no. 4, 2014, pp. 281-9.
Rosati M, Bramante S, Conti F. A review on the role of laparoscopic sacrocervicopexy. Curr Opin Obstet Gynecol. 2014;26(4):281-9.
Rosati, M., Bramante, S., & Conti, F. (2014). A review on the role of laparoscopic sacrocervicopexy. Current Opinion in Obstetrics & Gynecology, 26(4), 281-9. https://doi.org/10.1097/GCO.0000000000000079
Rosati M, Bramante S, Conti F. A Review On the Role of Laparoscopic Sacrocervicopexy. Curr Opin Obstet Gynecol. 2014;26(4):281-9. PubMed PMID: 24950123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A review on the role of laparoscopic sacrocervicopexy. AU - Rosati,Maurizio, AU - Bramante,Silvia, AU - Conti,Fiorella, PY - 2014/6/21/entrez PY - 2014/6/21/pubmed PY - 2015/3/31/medline SP - 281 EP - 9 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 26 IS - 4 N2 - PURPOSE OF REVIEW: To provide an update on the outcomes and complications of laparoscopic (or robot-assisted) sacrocervicopexy with and without supracervical hysterectomy, and highlight the differences with sacrocolpopexy technique based on the most recent evidence. RECENT FINDINGS: Laparoscopic and robot-assisted sacrocervicopexy with supracervical hysterectomy and sacrohysteropexy have good success rates, with a mean objective success rate of 96% (range 90-100%), subjective success rates of 80-95% and mean reoperation rate of 3%. Also, pelvic symptoms and quality of life improved after laparoscopic sacrocervicopexy. These results are similar to laparoscopic and abdominal sacrocolpopexy, and are confirmed by the results of two comparative studies. Mesh erosion risk is very low in patients treated with laparoscopic sacrocervicopexy. Studies that compare laparoscopic sacrocolpopexy with concomitant total hysterectomy and sacrocervicopexy with subtotal hysterectomy show that total hysterectomy is associated with a greater prevalence of vaginal mesh exposure when compared with a subtotal hysterectomy. In case of sacralpexy, if it is decided to proceed with a hysterectomy, it is recommended to limit this to a subtotal. SUMMARY: The benefits of laparoscopic sacrocervicopexy with or without supracervical hysterectomy in terms of outcomes and reduced risk of mesh erosion in comparison with sacrocolpopexy and concomitant total hysterectomy have to be confirmed by randomized controlled trials. Moreover, standardization of surgical technique is mandatory. SN - 1473-656X UR - https://www.unboundmedicine.com/medline/citation/24950123/A_review_on_the_role_of_laparoscopic_sacrocervicopexy_ DB - PRIME DP - Unbound Medicine ER -