Related Experiment Videos
Abdominal sacrocolpopexy: a comprehensive review
Ingrid E Nygaard1, Rebecca McCreery, Linda Brubaker
1Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA. ingrid-nygaard@uiowa.edu
Obstetrics and Gynecology
|October 2, 2004
Summary
Abdominal sacrocolpopexy effectively treats vaginal vault prolapse. Patients should be informed of potential risks like reoperation for prolapse, incontinence, and complications, as well as the need for further research on functional outcomes.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Vaginal vault prolapse is a common condition affecting women's quality of life.
- Abdominal sacrocolpopexy is a surgical option for treating pelvic organ prolapse.
Purpose of the Study:
- To review and summarize existing data on abdominal sacrocolpopexy.
- To identify gaps in current research regarding this procedure.
Main Methods:
- Comprehensive literature search of MEDLINE (1966-2004) using multiple search terms.
- Inclusion of articles with English-language abstracts and examination of reference lists.
- Analysis of outcome data from identified studies without meta-analysis due to heterogeneity.
Main Results:
- Success rates for apical prolapse ranged from 78-100%.
- Reoperation rates for prolapse and stress incontinence were 4.4% and 4.9% median, respectively.
- Overall mesh erosion rate was 3.4%; small bowel obstruction rate was 1.1% median.
Conclusions:
- Abdominal sacrocolpopexy is a reliable procedure for vaginal vault prolapse.
- Counseling patients on risks of reoperation and complications is essential.
- Further prospective trials are needed to evaluate functional outcomes.