Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse

Park, Young-Han; Yang, Seong Cheon; Park, Sung Taek; Park, Sung Ho; Kim, Hong Bae

doi:10.7150/ijms.9027

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Int J Med Sci 2014; 11(11):1082-1088. doi:10.7150/ijms.9027 This issue Cite

Research Paper

Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse

Young-Han Park¹, Seong Cheon Yang², Sung Taek Park³, Sung Ho Park³, Hong Bae Kim^3✉

1. Department of Obstetrics and Gynecology, Hallym University Sacred Heart Hospital, Hallym University Medical Center (HUMC), Seoul, Korea;
2. Department of Obstetrics and Gynecology, Hankang Sacred Heart Hospital, Hallym University Medical Center (HUMC), Seoul, Korea;
3. Department of Obstetrics and Gynecology, Kangnam Sacred Heart Hospital, Hallym University Medical Center (HUMC), Seoul, Korea.

Citation:

Park YH, Yang SC, Park ST, Park SH, Kim HB. Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse. Int J Med Sci 2014; 11(11):1082-1088. doi:10.7150/ijms.9027. https://www.medsci.org/v11p1082.htm

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Abstract

Background: Our purpose was to provide the clinical advantages of the laparoscopic approach compare to the vaginal approach in correcting uterine and vaginal vault prolapse.

Methods: Between June 2007 and June 2011, 174 women were admitted to HUMC (Hallym University Medical Center) and underwent pelvic reconstructive surgery for prolapsed vaginal vault and uterus. Upon retrospective review of the medical records, 174 of the patients who had symptoms of pelvic organ prolapsed and Baden-Walker prolapse grade ≥ 2 were selected and divided into two groups as follows: vaginal approach group (n=120) and laparoscopic approach group (n=54). We compared the results of clinical outcome by analyzing Student's t-test and χ²-test or the Fisher exact test as appropriate.

Results: There were significant difference in success rates without reoperation for recurrence as 91.7% (vaginal approach group, n=110) vs 100% (laparoscopic approach group, n=54), p=0.032. Mean follow-up duration was 31.3 ± 7.6 months for vaginal approach group and 29.7 ± 9.7 months for laparoscopic approach group. The Foley catheter indwelling duration (4.7± 1.9 vs 3.4±2.1 days, p< 0.001) and the length of postoperative hospitalization (6.4 ± 2.1 vs 5.0 ± 1.9 days, p <0.001) were significantly longer in vaginal approach group, whereas the operative time was significantly longer (108.2 ± 38.6 vs 168.3 ± 69.7 minutes, p <0.001) in laparoscopic approach group.

Conclusions: Our result suggest there is significantly lower recurrence rate requiring reoperation and less catheterization time but increased operative time for laparascopic sacrocolpopexy.

Keywords: uterine vaginal vault prolapse, pelvic reconstructive surgery, laparoscopy.

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APA

Park, Y.H., Yang, S.C., Park, S.T., Park, S.H., Kim, H.B. (2014). Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse. International Journal of Medical Sciences, 11(11), 1082-1088. https://doi.org/10.7150/ijms.9027.

ACS

Park, Y.H.; Yang, S.C.; Park, S.T.; Park, S.H.; Kim, H.B. Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse. Int. J. Med. Sci. 2014, 11 (11), 1082-1088. DOI: 10.7150/ijms.9027.

NLM

CSE

Park YH, Yang SC, Park ST, Park SH, Kim HB. 2014. Laparoscopic Reconstructive Surgery is Superior to Vaginal Reconstruction in the Pelvic Organ Prolapse. Int J Med Sci. 11(11):1082-1088.

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