[Laparoscopic treatment of symptomatic uterine retroversion].
OBJECTIVE
The aim of this retrospective study was to demonstrate the feasibility of laparoscopic Jamain-Letessier procedure and to report its results.


METHODS
Between August 1993 and September 1997, 19 patients (mean age: 29.7 years, range: 20-39 years) with painful uterine retroversion were operated on according to a laparoscopic Jamain-Letessier procedure. A preoperative pessary test was performed in 15 patients. The procedure included suture of the uterosacral ligaments to the midline and resection of the pouch of Douglas, followed by peritoneal suture.


RESULTS
The pessary test was positive in 14 of the 15 patients. Mean operating time was 2 hours. There was no conversion to laparotomy. Postoperative urinary tract infection was observed in 3 cases. Mean postoperative hospital stay was 2.5 days. With a mean 3-year follow-up, 15 patients were completely pain-free and 2 patients were partially pain-free. The 14 patients with a positive pessary test obtained a good result.


CONCLUSIONS
The pessary test is necessary for selection of patients. The Jalmain-Letessier procedure is easily performed laparoscopically and is associated with a low morbidity. With a mean 3-year follow-up, good results were obtained in 17 out of 19 patients (89%) and all patients with a positive pessary test obtained a good result.
Hautefeuille
J
J
Service de gynécologie obstétrique, maternité Jeanne-de-Flandre, CHRU Lille, France.
Cosson
M
M
Mathieu
E
E
Querleu
D
D
Crépin
G
G
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D010535:Laparoscopy / Q000379:methods*; D017699:Pelvic Pain / Q000209:etiology*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*; D014599:Uterus / Q000473:pathology*