Modified Laparoscopic Uterosacral Ligament Suspension in Patients with Gynecologic Tumors and Advanced Uterovaginal Prolapse

Modified Laparoscopic Uterosacral Ligament Suspension in Patients with Gynecologic Tumors and Advanced Uterovaginal Prolapse

Author Favero, Giovanni Google Scholar
Baessler, Kaven Google Scholar
Haddad, Jorge Google Scholar
Pfiffer, Tatiana Google Scholar
Baracat, Edmund Chada Google Scholar
Carvalho, Jesus Paula Google Scholar
Bortolini, Maria Augusta Autor UNIFESP Google Scholar
Abstract Objectives: To evaluate the feasibility and safety of a novel approach for concomitant endoscopic treatment of gynecologic tumors and advanced uterovaginal prolapse. Methods: Prospective pilot study with women affected by gynecologic tumors synchronically with uterovaginal prolapse. Patients underwent laparoscopy for the oncologic treatment in parallel with uterosacral ligament suspension (USLS) and culdoplasty. Patients were assessed in regard to (1) feasibility and safety and (2) objective and subjective efficacy of the combined procedure. Results: Six women were endoscopically operated without conversion. The USLS/culdoplasty procedure accounted for 16% of the total operative time. Average operative time, blood loss and length of hospitalization were favorable. No major complications were observed during and after the surgeries. The mean follow-up was 20.3 months. Postoperative POP-Q measurements showed important improvements in the anterior and apical vaginal compartments and all patients were cancer free at the latest follow-up visit. Conclusion: Gynecologic tumors associated with advanced uterovaginal prolapse may be successfully treated by one-stage laparoscopic operation.
xmlui.dri2xhtml.METS-1.0.item-coverage New Rochelle
Language English
Date 2016
Published in Journal Of Gynecologic Surgery. New Rochelle, v. 32, n. 1, p. 24-28, 2016.
ISSN 1042-4067 (Sherpa/Romeo, impact factor)
Publisher Mary Ann Liebert, Inc
Extent 24-28
Origin http://dx.doi.org/10.1089/gyn.2014.0122
Access rights Closed access
Type Article
Web of Science ID WOS:000382168900005
URI https://repositorio.unifesp.br/handle/11600/57989

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