title: Laparoscopic paravaginal repair of anterior compartment prolapse.
abstract: OBJECTIVE
  To assess the results of laparovaginal repair of anterior vaginal prolapse in terms of perioperative morbidity and repair durability.
  
  
  METHODS
  Longitudinal study of a consecutive series of women assessed with the pelvic organ prolapse quantification (POPQ) system before and after laparoscopic paravaginal repair of anterior vaginal prolapse (Canadian Task Force classification II-2).
  
  
  METHODS
  University hospital in South Australia.
  
  
  METHODS
  Two hundred twelve women undergoing laparoscopic paravaginal repair for anterior compartment prolapse, with average follow-up of 14.2 months and 10 (4.7%) lost to follow-up.
  
  
  METHODS
  All women underwent bilateral laparoscopic paravaginal repair that was combined with uterosacral hysteropexy or colpopexy in women with concomitant level I defects (n = 42) and supralevator repair in those with posterior fascia defects (n = 47). Recurrences were treated with graft-reinforced anterior colporrhaphy (n = 18).
  
  
  RESULTS
  Nine women (4.2%) had major complications, and there were 61 minor complications. The POPQ assessment on follow-up (mean 14.2 months) gave a prolapse cure of the laparoscopic repair of 76% (95% CI 70.7%-82.1%). Eighteen of 23 women with a residual central defect subsequently had a graft-reinforced anterior colporrhaphy, after a mean interval of 14 months, which increased the cure rate to 84% (95% CI 79.6%-89.3%).
  
  
  CONCLUSIONS
  Laparoscopic paravaginal repair followed by graft-reinforced anterior colporrhaphy for central defects, when necessary, is associated with a low morbidity rate and achieves an anatomic cure rate greater than 80%.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia.
authors.forename: Fariba
authors.initials: F
authors.lastname: Behnia-Willison
authors.forename: Elvis I
authors.initials: EI
authors.lastname: Seman
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Cook
authors.forename: Robert T
authors.initials: RT
authors.lastname: O'Shea
authors.forename: Marc J N C
authors.initials: MJ
authors.lastname: Keirse
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery