Abdominal colposuspension with the use of tension-free tape at the lateral abdominal wall: a novel technique.
BACKGROUND
The aim of this study was to present a novel technique for the female pelvic organ prolapsed, an abdominal colpopexy at the lateral abdominal wall (ACLAW) using a tension-free tape and to compare it with the gold standard, the abdominal sacrocolpopexy (ASC).


METHODS
A retrospective comparative study was conducted consisting of 38 patients who underwent ACLAW and 40 patients who underwent ASC during the period 2007-2009. POP-Q data as well as PISQ-12 and POPDI-6 score values were recorded during a mean follow-up of 26.71 and 23.52 months for ACLAW and ASC groups, respectively. Parameters like operative time, blood loss and hospital stay time were evaluated as well.


RESULTS
Except the 6-month point, anatomical outcome in terms of C point values and total vaginal length was comparable. Both score analyses did not demonstrate statistically significant differences between the groups. The novel technique was proved very much shorter (30 ± 10.2 vs. 125.93 ± 15.42 min, p < 0.001) and less hemorrhagic (1.68 ± 0.79 vs. 2.22 ± 1.08 g/dl reduction in hemoglobin level, postoperatively) than the traditional sacrocolpopexy. Hospital stay time did not demonstrate significant difference.


CONCLUSIONS
Based on the study results, ACLAW, a technique much easier and shorter than the traditional abdominal colpopexy results in comparable outcomes.
1st Department of Obstetrics and Gynecology, Urogynecology Unit, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. athpap.obgyn@gmail.com
A E
AE
Papadopoulos
T
T
Tsalikis
F
F
Tzevelekis
G
G
Grimbizis
V
V
Papameletiou
V
V
Tarlatzis
D034861:Abdominal Wall; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome