Laparoscopic hysteropexy: 10 years' experience.

Area of Science:

• Urogynecology
• Minimally Invasive Surgery
• Pelvic Floor Disorders

Background:

• Uterine prolapse is a prevalent condition often treated with hysterectomy.
• There is a growing demand for uterine-preserving surgical alternatives.
• Laparoscopic hysteropexy utilizes polypropylene mesh for uterine resuspension.

Purpose of the Study:

• To evaluate the safety and feasibility of laparoscopic hysteropexy over a 10-year period.
• To assess patient outcomes and satisfaction with uterine preservation surgery.

Main Methods:

• Retrospective review of all laparoscopic hysteropexy procedures performed since 2006.
• Assessment of intraoperative and major postoperative complications for safety.
• Evaluation of operating time, length of stay, patient satisfaction, and repeat surgery rates.

Main Results:

• Data from 507 women were analyzed.
• Complication rates were low at 1.8%, with no mesh exposure.
• High patient satisfaction (93.8%) and minimal repeat surgery (2.8%) were observed.

Conclusions:

• Laparoscopic hysteropexy is a safe and effective uterine preservation option for uterine prolapse.
• The technique demonstrates low complication rates and high patient satisfaction.
• This study represents the largest series evaluating 10 years of laparoscopic hysteropexy.