Laparoscopic sacral colpopexy with polyester fiber suture: Ozerkan modification.

Area of Science:

• Urogynecology
• Minimally Invasive Surgery
• Pelvic Floor Disorders

Background:

• Mesh-related complications are significant issues in traditional laparoscopic sacral colpopexy.
• Current techniques often necessitate mesh use, limiting alternatives for vaginal vault prolapse repair.

Purpose of the Study:

• To evaluate the feasibility and outcomes of the Ozerkan modification, a mesh-free laparoscopic sacral colpopexy technique.
• To assess both objective and subjective results of this novel approach in treating vaginal vault prolapse.

Main Methods:

• Prospective study of 22 women with stage ≥ 2 vaginal vault prolapse undergoing the Ozerkan modification (2015-2017).
• Primary outcome: anatomic success (Pelvic Organ Prolapse Quantification System stage 0 or 1) at 1 year.
• Secondary outcomes: subjective quality of life scores and complication rates.

Main Results:

• Nineteen of 21 patients (90.4%) achieved stage 0 or 1 prolapse at 1-year follow-up.
• Objective and subjective cure rates were both 90.4%.
• No bladder or bowel complications were reported during the peri- or postoperative periods.

Conclusions:

• The Ozerkan modification offers a feasible and safe alternative to mesh use in laparoscopic sacral colpopexy.
• This mesh-free technique effectively treats vaginal vault prolapse while mitigating mesh-related complications.