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Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III-IV apical pelvic organ prolapse.
Updates Surg. 2020 Mar; 72(1):199-204.US

Abstract

Different techniques have been proposed over the last decades to avoid the vaginal vault prolapse following hysterectomy for severe (stage III-IV) apical pelvic organ prolapse. In this scenario, the laparoscopic duplication of the uterosacral ligaments to the vaginal apex might represent a simple alternative procedure, associated with low morbidity and optimal surgical outcomes. In this paper, we present the preliminary results of 25 consecutive patients, who underwent total laparoscopic hysterectomy followed by uterosacral ligament duplication for stage III-IV apical pelvic organ prolapse. A detailed description of the surgical procedure is also provided.

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Authors+Show Affiliations

Serati M
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Laganà AS
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy. antoniosimone.lagana@uninsubria.it.
Casarin J
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Gisone B
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Cantaluppi S
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Ghezzi F
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.

MeSH

FemaleHumansHysterectomyLaparoscopyLigamentsPelvic Organ ProlapseSeverity of Illness IndexUrogenital Surgical ProceduresVagina

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31691118

Citation

Serati, Maurizio, et al. "Laparoscopic Duplication of the Uterosacral Ligaments Following Hysterectomy for Stage III-IV Apical Pelvic Organ Prolapse." Updates in Surgery, vol. 72, no. 1, 2020, pp. 199-204.
Serati M, Laganà AS, Casarin J, et al. Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III-IV apical pelvic organ prolapse. Updates Surg. 2020;72(1):199-204.
Serati, M., Laganà, A. S., Casarin, J., Gisone, B., Cantaluppi, S., & Ghezzi, F. (2020). Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III-IV apical pelvic organ prolapse. Updates in Surgery, 72(1), 199-204. https://doi.org/10.1007/s13304-019-00690-9
Serati M, et al. Laparoscopic Duplication of the Uterosacral Ligaments Following Hysterectomy for Stage III-IV Apical Pelvic Organ Prolapse. Updates Surg. 2020;72(1):199-204. PubMed PMID: 31691118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III-IV apical pelvic organ prolapse. AU - Serati,Maurizio, AU - Laganà,Antonio Simone, AU - Casarin,Jvan, AU - Gisone,Baldo, AU - Cantaluppi,Simona, AU - Ghezzi,Fabio, Y1 - 2019/11/05/ PY - 2019/07/13/received PY - 2019/10/27/accepted PY - 2019/11/7/pubmed PY - 2020/8/25/medline PY - 2019/11/7/entrez KW - Duplication of the uterosacral ligaments KW - Hysterectomy KW - Laparoscopic uterosacral ligament colpopexy KW - Laparoscopy KW - Pelvic organ prolapse KW - Vaginal vault prolapse SP - 199 EP - 204 JF - Updates in surgery JO - Updates Surg VL - 72 IS - 1 N2 - Different techniques have been proposed over the last decades to avoid the vaginal vault prolapse following hysterectomy for severe (stage III-IV) apical pelvic organ prolapse. In this scenario, the laparoscopic duplication of the uterosacral ligaments to the vaginal apex might represent a simple alternative procedure, associated with low morbidity and optimal surgical outcomes. In this paper, we present the preliminary results of 25 consecutive patients, who underwent total laparoscopic hysterectomy followed by uterosacral ligament duplication for stage III-IV apical pelvic organ prolapse. A detailed description of the surgical procedure is also provided. SN - 2038-3312 UR - https://www.unboundmedicine.com/medline/citation/31691118/Laparoscopic_duplication_of_the_uterosacral_ligaments_following_hysterectomy_for_stage_III_IV_apical_pelvic_organ_prolapse_ DB - PRIME DP - Unbound Medicine ER -