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New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique.
J Minim Invasive Gynecol 2016 Jul-Aug; 23(5):675JM

Abstract

STUDY OBJECTIVE

To show a new laparoscopic technique of hysteropexy for uterine retrodisplacement (retroversion and/or retroflexion).

DESIGN

Narrated step-by-step explanation of the Bologna hysteropexy technique using descriptive text and an educational video.

SETTING

Tertiary referred center of minimally invasive gynecology, Sant'Orsola Hospital, Bologna University.

INTERVENTIONS

The Bologna hysteropexy is proposed as an additional procedure after surgical laparoscopic interventions for benign gynecologic disease. The technique consists of 2 semicontinuous absorbable sutures (Biosyn monofilament no. 1 [Covidien, Mansfield, MA] with 2/3 inch diameter needle, 36 mm) suspending the uterus to the anterior abdominal wall, through the plication and shortening of round ligaments. A knot is tied intracorporeally between the 2 free ends of the semicontinuous sutures, drawing a V shape figure and resulting in uterine ventrosuspension.

CONCLUSION

The Bologna technique hysteropexy is simple and quick to perform. It is effective in suspending the uterus in anteverted and anteflexed positions at 6-month ultrasound follow-up. No perioperative complications were recorded. It can be done with a standard surgical suture-passer and does not add additional cost to surgery. Furthermore, an absorbable suture is desirable for fertile women.

Authors+Show Affiliations

Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy. Electronic address: renato.seracchioli@aosp.bo.it.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.

Pub Type(s)

Journal Article
Technical Report
Video-Audio Media

Language

eng

PubMed ID

26922878

Citation

Seracchioli, Renato, et al. "New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique." Journal of Minimally Invasive Gynecology, vol. 23, no. 5, 2016, p. 675.
Seracchioli R, Zanello M, Arena A, et al. New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique. J Minim Invasive Gynecol. 2016;23(5):675.
Seracchioli, R., Zanello, M., Arena, A., Costantino, C., Moro, E., Zannoni, L., & Raimondo, D. (2016). New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique. Journal of Minimally Invasive Gynecology, 23(5), p. 675. doi:10.1016/j.jmig.2016.02.012.
Seracchioli R, et al. New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique. J Minim Invasive Gynecol. 2016;23(5):675. PubMed PMID: 26922878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique. AU - Seracchioli,Renato, AU - Zanello,Margherita, AU - Arena,Alessandro, AU - Costantino,Claudia, AU - Moro,Elisa, AU - Zannoni,Letizia, AU - Raimondo,Diego, Y1 - 2016/02/23/ PY - 2016/01/12/received PY - 2016/02/02/revised PY - 2016/02/14/accepted PY - 2016/3/1/entrez PY - 2016/3/1/pubmed PY - 2017/7/1/medline KW - Hysteropexy KW - Laparoscopy KW - Uterine retrodisplacement SP - 675 EP - 675 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 23 IS - 5 N2 - STUDY OBJECTIVE: To show a new laparoscopic technique of hysteropexy for uterine retrodisplacement (retroversion and/or retroflexion). DESIGN: Narrated step-by-step explanation of the Bologna hysteropexy technique using descriptive text and an educational video. SETTING: Tertiary referred center of minimally invasive gynecology, Sant'Orsola Hospital, Bologna University. INTERVENTIONS: The Bologna hysteropexy is proposed as an additional procedure after surgical laparoscopic interventions for benign gynecologic disease. The technique consists of 2 semicontinuous absorbable sutures (Biosyn monofilament no. 1 [Covidien, Mansfield, MA] with 2/3 inch diameter needle, 36 mm) suspending the uterus to the anterior abdominal wall, through the plication and shortening of round ligaments. A knot is tied intracorporeally between the 2 free ends of the semicontinuous sutures, drawing a V shape figure and resulting in uterine ventrosuspension. CONCLUSION: The Bologna technique hysteropexy is simple and quick to perform. It is effective in suspending the uterus in anteverted and anteflexed positions at 6-month ultrasound follow-up. No perioperative complications were recorded. It can be done with a standard surgical suture-passer and does not add additional cost to surgery. Furthermore, an absorbable suture is desirable for fertile women. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/26922878/New_Laparoscopic_Technique_of_Hysteropexy_for_Uterine_Retrodisplacement:_Bologna_Technique L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(16)00115-1 DB - PRIME DP - Unbound Medicine ER -