title: Laparoscopic sacrocolpopexy with a vaginal prosthetic adhesive.
abstract: OBJECTIVE
  To evaluate the efficacy and safety of vaginal prosthetic adhesive (VPA) during laparoscopic sacrocolpopexy.
  
  
  METHODS
  Retrospective analysis of 35 first consecutive cases.
  
  
  METHODS
  Gynecology Surgery Unit, Bouchard Clinic, Marseille, France.
  
  
  METHODS
  Thirty-five women (age range: 35-85 years; average 60.8 years) presenting a genital prolapse assessed by a Pelvic Organ Prolapse Quantification (POP-Q) Score (stage 2 to 4).
  
  
  METHODS
  Modified laparoscopic sacrocolpopexy using a synthetic glue (Ifabond™, Peters Surgical(®)) to fix the mesh to the vagina (anterior and posterior) and to the levator ani. Two non-absorbable knots are used to secure the anterior mesh to the isthmus and to the promontory.
  
  
  RESULTS
  The average operating time was 68.4 minutes (45-115 min). No complications occurred during the procedure and early postoperative course. One patient (2.8%) experienced mesh exposure, and one patient (2.8%) experienced a subacute intestinal obstruction, which was resolved by a medical treatment. During a median follow-up at 13.2 months (range: 6-24.7 months), the surgical success rate (POP-Q<2) was 94.2% (two recurrences). The patient satisfaction rate was 87%.
  
  
  CONCLUSIONS
  The VPA during laparoscopic sacrocolpopexy seems to be safe and effective at short term. This new procedure due to adhesive opens up a new path for the widespread use of sacrocolpopexy and for reduced operating times, which is often one obstacle with the dissection in the development of this technique.
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France. Electronic address: jeanphilippeestrade@me.com.
authors.forename: J-P
authors.initials: JP
authors.lastname: Estrade
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Gurriet
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Franquebalme
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Chinchole
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France.
authors.forename: E
authors.initials: E
authors.lastname: Glowaczower
authors.affiliation: Surgery unit, Gynécomarseille, 6, rue Rocca, 13008 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Ferry
authors.affiliation: CHU La-Conception, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Crochet
authors.affiliation: CHU La-Conception, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Agostini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh; D014014:Tissue Adhesives / Q000627:therapeutic use*
chemical_list: D014014:Tissue Adhesives
keywords: Colle; Cyanoacrylate; Encollage prothétique vaginal; Glue; Laparoscopie; Laparoscopy; Promontofixation; Sacrocolpopexy; Vaginal prosthetic adhesive