Abdominal colposuspension with the use of tension-free tape at the lateral abdominal wall: a novel technique.
Title | Abdominal colposuspension with the use of tension-free tape at the lateral abdominal wall: a novel technique. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Papadopoulos, A. E., Tsalikis T., Tzevelekis F., Grimbizis G., Papameletiou V., & Tarlatzis V. |
Journal | Arch Gynecol Obstet |
Volume | 286 |
Issue | 4 |
Pagination | 977-81 |
Date Published | 2012 Oct |
ISSN | 1432-0711 |
Keywords | Abdominal Wall, Aged, Female, Gynecologic Surgical Procedures, Humans, Middle Aged, Pelvic Organ Prolapse, Retrospective Studies, Treatment Outcome |
Abstract | INTRODUCTION: The aim of this study was to present a novel technique for the female pelvic organ prolapsed, an abdominal colpopexy at the lateral abdominal wall (ACLAW) using a tension-free tape and to compare it with the gold standard, the abdominal sacrocolpopexy (ASC).MATERIALS AND METHODS: A retrospective comparative study was conducted consisting of 38 patients who underwent ACLAW and 40 patients who underwent ASC during the period 2007-2009. POP-Q data as well as PISQ-12 and POPDI-6 score values were recorded during a mean follow-up of 26.71 and 23.52 months for ACLAW and ASC groups, respectively. Parameters like operative time, blood loss and hospital stay time were evaluated as well.RESULTS: Except the 6-month point, anatomical outcome in terms of C point values and total vaginal length was comparable. Both score analyses did not demonstrate statistically significant differences between the groups. The novel technique was proved very much shorter (30 ± 10.2 vs. 125.93 ± 15.42 min, p < 0.001) and less hemorrhagic (1.68 ± 0.79 vs. 2.22 ± 1.08 g/dl reduction in hemoglobin level, postoperatively) than the traditional sacrocolpopexy. Hospital stay time did not demonstrate significant difference.CONCLUSIONS: Based on the study results, ACLAW, a technique much easier and shorter than the traditional abdominal colpopexy results in comparable outcomes. |
DOI | 10.1007/s00404-012-2388-1 |
Alternate Journal | Arch. Gynecol. Obstet. |
PubMed ID | 22643826 |