title: Laparoscopic modified sacral hysteropexy: initial experience with an original surgical approach to uterovaginal prolapse.
abstract: OBJECTIVE
  To evaluate the feasibility of a modified laparoscopic approach to correct uterovaginal prolapse using cervical cerclage tape to attach the uterine isthmus to the sacral promontory.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification III).
  
  
  METHODS
  Tertiary referral center.
  
  
  METHODS
  From January 2011 to February 2013, 33 patients underwent laparoscopic modified sacral hysteropexy with use of cervical cerclage tape at West China Second University Hospital. All patients had stage 2 to 4 uterovaginal prolapse according to the Pelvic Organ Prolapse Quantification System.
  
  
  RESULTS
  The outcome was assessed via preoperative and postoperative pelvic examinations, and the surgical results were evaluated. The mean operative time was 90.0 minutes, and blood loss was 80.5 mL. No intraoperative or postoperative complications occurred. At the minimum 6-month follow up, all patients had prolapse of stage I or lower.
  
  
  CONCLUSIONS
  After larger trials are performed to assess the safety and efficacy of this modified laparoscopic sacral hysteropexy, this novel approach might be considered as an alternative treatment option in patients with uterovaginal prolapse.
authors.affiliation: Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Sichuan, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Lin
authors.affiliation: Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Sichuan, China. Electronic address: pingwanghxey@163.com.
authors.forename: Ping
authors.initials: P
authors.lastname: Wang
authors.affiliation: Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Sichuan, China.
authors.forename: Qilin
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Sichuan, China.
authors.forename: Tianjin
authors.initials: T
authors.lastname: Yi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D061646:Operative Time; D056887:Pelvic Organ Prolapse; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*
keywords: Laparoscopy; Sacral hysteropexy; Uterovaginal prolapse