[Laparoscopic promontofixation: defining early morbidity using a standardized method].
OBJECTIVE
Adverse event reporting for laparoscopic promontofixation is highly variable and non-standardized in the literature. The aim of this study was to better characterize early postoperative complications of laparoscopic promontofixation for genital prolapse using a standardized reporting methodology.


METHODS
A retrospective study was conducted on 174 women with genital prolapse undergoing laparoscopic promontofixation from January 2008 to January 2013. Complications arising during the first month after surgery were reviewed according to the Clavien and Dindo classification.


RESULTS
At least one postoperative adverse event was reported in 57 out of 174 (33 %) women, grade 1 in 22 patients (13 %), grade 2 in 31 patients (18 %) and grade 3 in 4 patients (2 %). No patient experienced a grade 4 or 5 complication. Fifty-three out of 57 (93 %) complications were grade 1 or 2. The most frequently reported adverse event (n=24; 14 %) was constipation (grade 2).


CONCLUSIONS
Laparoscopic promontofixation is a safe procedure with almost exclusively benign (grade 1 or 2) early complications. The hypothesis of induction or increasing constipation by this type of genital prolapse surgery should be further evaluated.
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France. Electronic address: francois.golfier@chu-lyon.fr.
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Golfier
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Sesques
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Benayoun
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Krauth
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Lunel Potencier
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Benchaib
Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard Lyon 1, centre hospitalier Lyon Sud, batiment 3B 2(e) étage, 69495 Pierre-Bénite cedex, France.
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Raudrant
D000328:Adult; D000368:Aged; D003248:Constipation / Q000453:epidemiology; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D014596:Uterine Prolapse / Q000601:surgery*
Complications précoces; Cœlioscopie; Early complications; Laparoscopy; Postoperative; Postopératoires; Promontofixation; Standardisé; Standardized