Treatment of genital prolapse by laparoscopic lateral suspension using mesh: a series of 73 patients.
OBJECTIVE
To evaluate the efficacy of laparoscopic lateral suspension using mesh in patients with pelvic organ prolapse (POP).


METHODS
A prospective cohort study (Canadian Task Force classification II-2).


METHODS
A tertiary referral center for operative laparoscopy.


METHODS
In all, 73 patients with POP were assessed in the preoperative and postoperative stages. The assessment included a description of their functional symptoms and the degree of their POP condition, established according to the Baden-Walker prolapse classification system. The patients were followed in the postoperative stage for a median of 19 (range 12-41) months.


METHODS
Laparoscopic lateral suspension of pelvic organs using mesh carried out from January 2004 through September 2006.


RESULTS
Satisfactory anatomic results were obtained in 64 (87.7%) patients. Neither major complications, nor postoperative pelvic infection were reported. None of the operations required laparotomy.


CONCLUSIONS
Laparoscopic lateral suspension using mesh effectively treats POP with low morbidity.
Dubuisson
Jean-Bernard
JB
Department of Obstetrics and Gynecology, Geneva University Hospital, Geneva, Switzerland. jean-bernard.dubuisson@hcuge.ch
Yaron
Michal
M
Wenger
Jean-Marie
JM
Jacob
Sandrine
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D020047:Rectocele / Q000601:surgery*; D053825:Suburethral Slings; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*