title: Modified laparoscopic extraperitoneal uterine suspension to anterior abdominal wall: the easier way to treat uterine prolapse.
abstract: OBJECTIVE
  To report the outcomes of modified laparoscopic extraperitoneal uterine suspension to anterior abdominal wall for uterine prolapse using mesh.
  
  
  METHODS
  Twenty-two patients with uterovaginal prolapse, stage 2 or greater according to pelvic organ prolapse quantification (POP-Q), and with desire for uterine preservation, underwent modified laparoscopic extraperitoneal uterine suspension to the anterior abdominal wall bilaterally using mesh. The outcomes were measured by POP-Q and quality-of-life questionnaires. Intraoperative or postoperative complications were also observed.
  
  
  RESULTS
  Patient age was 61.4 ± 12 years, and parity was 3.3 ± 1.8. After surgery, there was significant improvement in POP-Q measurements of Ba, Bp, and C (P < 0.001). The objective cure rate at 1 year was 100%. A significant improvement in quality-of-life scores was observed (P < 0.001). There were no major intraoperative or postoperative complications. However, all patients reported postoperative dragging pain at the points of puncture ports where the mesh was fixed to the abdominal wall. The visual analog scale decreased from a mean 3-day score of 2.9-0 at 1-month follow-up.
  
  
  CONCLUSIONS
  Modified laparoscopic extraperitoneal uterine suspension to the anterior abdominal wall using mesh is a feasible and effective method for treating uterine prolapse and is easy to perform.
authors.affiliation: Department of Obstetrics and Gynecology, Anhui Provincial Hospital, Anhui Medical University, 17# Lu jiang Road, Hefei 230001, People's Republic of China.
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.forename: Dabao
authors.initials: D
authors.lastname: Wu
authors.forename: Weidong
authors.initials: W
authors.lastname: Zhao
authors.forename: Weiping
authors.initials: W
authors.lastname: Hu
authors.forename: Jia
authors.initials: J
authors.lastname: Li
authors.forename: Bin
authors.initials: B
authors.lastname: Ling
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D011788:Quality of Life; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*