Abstract | OBJECTIVE: METHOD: At the laparoscopic suture hysteropexy, the pouch of Douglas is closed and the uterosacral ligaments are plicated and reattached to the cervix. RESULTS: Forty-three women with symptomatic uterine prolapse were prospectively evaluated and underwent laparoscopic suture hysteropexy with a mean follow-up of 12 +/- 7 months (range 6-32). The mean operating time for the laparoscopic suture hysteropexy alone was 42 +/- 15 minutes (range 22-121), and the mean blood loss was less than 50 mL. On review, 35 women (81%) had no symptoms of prolapse and 34 (79%) had no objective evidence of uterine prolapse. Two women subsequently completed term pregnancies and were without prolapse. Both underwent elective cesarean delivery. CONCLUSION: The laparoscopic suture hysteropexy is effective and safe in the management of symptomatic uterine prolapse. The result is physiologically correct, without disfiguring the cervix. This may be an appropriate procedure for women with uterine prolapse wishing uterine preservation.
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Authors | C F Maher, M P Carey, C J Murray |
Journal | Obstetrics and gynecology
(Obstet Gynecol)
Vol. 97
Issue 6
Pg. 1010-4
(Jun 2001)
ISSN: 0029-7844 [Print] United States |
PMID | 11393196
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Female
- Follow-Up Studies
- Humans
- Hysteroscopy
(methods)
- Laparoscopy
(methods)
- Middle Aged
- Prospective Studies
- Suture Techniques
- Treatment Outcome
- Uterine Prolapse
(diagnosis, surgery)
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