Laparoscopic sacrocervicopexy for the treatment of uterine prolapse: a retrospective case series report.
OBJECTIVE
To evaluate apical support in patients desiring uterine preservation with pelvic organ prolapse who underwent laparoscopic sacrocervicopexy.


METHODS
Retrospective case series report (Canadian Task Force classification III).


METHODS
Academic community teaching hospital.


METHODS
Forty consecutive women who underwent laparoscopic sacrocervicopexy.


METHODS
Synthetic mesh was used to attach the distal uterosacral ligaments and posterior endopelvic fascia to the anterior longitudinal ligament of the sacral promontory.


RESULTS
Pelvic organ prolapse quantification system measurements were used and apical support was evaluated using point C. Mean C was -1.13 (+9 to -4) preoperatively, -5.28 (-3 to -13) at 6 weeks postoperatively, -5.26 (-3 to -8) at 6 months postoperatively, and -4.84 (-3 to -7) at 1 year postoperatively.


CONCLUSIONS
Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.
Rosenblatt
Peter L
PL
Mount Auburn Hospital, Cambridge, Massachusetts.
Chelmow
David
D
Ferzandi
Tanaz R
TR
D000328:Adult; D015331:Cohort Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006784:Hospitals, Teaching; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery*