title: Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes.
abstract: OBJECTIVE
  The aim of this study was to evaluate the surgical outcomes and complications of laparoscopic sacropexy with regard to 3 varying mesh attachment points: the vaginal stump, the cervical stump, and the posterior side of the cervix in the case of uterus  preservation.
  
  
  METHODS
  A retrospective study was conducted among 310 women treated for descensus with laparoscopic sacropexy between January 2000 and December 2007. Information was obtained from medical files and follow-up examinations.
  
  
  RESULTS
  Sacropexies with mesh attachment  to the cervical stump, to the vaginal stump, and with uterus preservation were performed in 213, 67, and 30 cases, respectively. In 40 cases, no concomitant interventions were necessary. One perioperative conversion and 2 terminations occurred. Short-term complications included fever in 15  cases and urinary incontinence in 7 cases. Average follow-up was 7.9 mo with 211 patients completing followup. Prolapse recurrence rate was 10.4%; the reoperation rate was 4%. No significant differences between groups were detected for cystocele recurrence. Rectocele recurrence was significantly  higher (P < .05) for sacropexy with vaginal mesh attachment. A reduction of incontinence was observed, which was significant (P < .05) for those patients treated with simultaneous or previous hysterectomy.
  
  
  CONCLUSIONS
  Laparoscopic sacropexy shows good short-term  results with low reprolapse and complication rates.
authors: Klinik für Minimal Invasive Chirurgie, Kurstraße 11, 14129 Berlin-Zehlendorf, Germany. b.bojahr@mic-berlin.de
authors: Bernd
authors: B
authors: Bojahr
authors: Garri
authors: G
authors: Tchartchian
authors: Matthias
authors: M
authors: Waldschmidt
authors: Thoralf
authors: T
authors: Schollmeyer
authors: Rudy L
authors: RL
authors: De Wilde
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008875:Middle Aged; D011183:Postoperative Complications; D020047:Rectocele / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014596:Uterine Prolapse / Q000601:surgery*