[Transvaginal repair of genital prolapse with Prolift: evaluation of safety and learning curve].
OBJECTIVE
Evaluation of the mini invasiveness and the learning curve of the Prolift technique.


METHODS
Prospective study. All patients were operated on by the same surgeon. The mini-invasiveness of the procedure was estimated through the evaluation of the intraoperative and immediate postoperative complications. The learning curve was evaluated through the analysis of the operative time.


RESULTS
Between January and December 2007. Forty-seven patients were included in the study. Mean follow-up was: 11,8 months. Two cases of bladder injury and two cases of intraoperative bleeding (>500 ml) were reported. One case of vaginal erosion and one case of recurrence of the prolapse occurred during the follow-up. The mean operative time was 62+/-18 min. The mean operative time of the posterior step of the Prolift was 24+/-min and remained stable after the 18th procedure.


CONCLUSIONS
The learning cure of the posterior of the procedure is longer because of the passage of the needles through the ischiorectal foramens. The technique is mini-invasive considered the low rate of intra and immediate postoperative complication and the learning curve short.


CONCLUSIONS
Longer follow-up is needed to evaluate the efficacy of the procedure in the long term.
Bafghi
A
A
Service de gynécologie-obstétrique-reproduction et de médecine foetale, hôpital de l'Archet-2, CHU de Nice, BP 3079, Nice cedex 3, France. abafghi@hotmail.com
Iannelli
A
A
Verger
S
S
Novelas
S
S
Amiel
J
J
Gugenheim
J
J
Bongain
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries; D014596:Uterine Prolapse / Q000145:classification / Q000601:surgery*; D014621:Vagina / Q000601:surgery*