[Transvaginal repair of genital prolapse with Prolift: evaluation of safety and learning curve]
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Published on: August 17, 2022
A Bafghi1, A Iannelli, S Verger
1Service de gynécologie-obstétrique-reproduction et de médecine foetale, hôpital de l'Archet-2, CHU de Nice, BP 3079, Nice cedex 3, France. abafghi@hotmail.com
Aims:
Evaluation of the mini invasiveness and the learning curve of the Prolift technique.
Materials And Methods:
Prospective study. All patients were operated on by the same surgeon. The mini-invasiveness of the procedure was estimated through the evaluation of the intraoperative and immediate postoperative complications. The learning curve was evaluated through the analysis of the operative time.
Results:
Between January and December 2007. Forty-seven patients were included in the study. Mean follow-up was: 11,8 months. Two cases of bladder injury and two cases of intraoperative bleeding (>500 ml) were reported. One case of vaginal erosion and one case of recurrence of the prolapse occurred during the follow-up. The mean operative time was 62+/-18 min. The mean operative time of the posterior step of the Prolift was 24+/-min and remained stable after the 18th procedure.
Discussion:
The learning cure of the posterior of the procedure is longer because of the passage of the needles through the ischiorectal foramens. The technique is mini-invasive considered the low rate of intra and immediate postoperative complication and the learning curve short.
Conclusions:
Longer follow-up is needed to evaluate the efficacy of the procedure in the long term.
Insights
The Prolift technique for pelvic organ prolapse is mini-invasive with a short learning curve, demonstrating low complication rates for surgeons. Further studies are needed for long-term efficacy.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
Context:
- Pelvic organ prolapse (POP) management.
- Evaluation of surgical techniques for POP repair.
Purpose:
- Assess the mini-invasiveness of the Prolift technique.
- Determine the learning curve associated with the Prolift procedure.
Summary:
- A prospective study evaluated 47 patients undergoing the Prolift technique by a single surgeon.
- Mini-invasiveness was assessed via intraoperative and postoperative complications; operative time analyzed the learning curve.
- Low rates of intraoperative/postoperative complications (bladder injury, bleeding) and a stable operative time after 18 procedures indicate mini-invasiveness and a short learning curve.
Impact:
- Provides insights into the safety and efficiency of the Prolift technique.
- Suggests the Prolift technique is a viable, minimally invasive option for POP treatment.
- Highlights the need for extended follow-up to confirm long-term efficacy.
