Laparoscopic uterosacral ligament suspension versus sacrospinous ligament fixation for apical prolapse: perioperative outcomes
Open Access
- 14 June 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Gynecological Surgery
- Vol. 18 (1), 1-6
- https://doi.org/10.1186/s10397-021-01098-3
Abstract
Background Pelvic organ prolapse can be repaired vaginally or laparoscopically. Studies comparing vaginal repair with sacrospinous ligament fixation (SSLF) or uterosacral ligament suspension (V-USLS) have found no difference in functional or adverse outcomes. Laparoscopic USLS (L-USLS) is becoming a popular treatment for pelvic organ prolapse because it has a low rate of ureteral compromise. To date, no studies have compared perioperative outcomes between L-USLS and SSLF. The objective of this study is to compare the rates of perioperative complications between these two methods. Methods This was a retrospective chart review of 243 consecutive patients who underwent L-USLS or SSLF at one institution between March 2017 and August 2019 for apical pelvic organ prolapse. Descriptive data was analyzed as appropriate with Student’s t tests and chi-square. Univariable logistic regression analysis was performed to assess predictors of perioperative complications. Results Preoperative Pelvic Organ Prolapse Quantification Stage (POP-Q) was similar between the two cohorts (p = 0.23). After adjusting for confounding factors, L-USLS was associated with a longer operative time (118 vs 142 min, p < 0.01) and shorter length of hospitalization (0.68 vs 1.06 days, p < 0.01). The estimated blood loss between the procedures was not statistically significant after adjusting for confounding factors. There was no difference in perioperative complication rates between L-USLS and SSLF (5% vs 7%, p = 0.55). No clinical risk factors were significantly associated with perioperative complications. Conclusion We did not find a difference in complications between L-USLS and SSLF.Keywords
This publication has 12 references indexed in Scilit:
- Comparison of complications and prolapse recurrence between laparoscopic and vaginal uterosacral ligament suspension for the treatment of vaginal prolapseInternational Urogynecology Journal, 2015
- Ureteral Compromise in Laparoscopic Versus Vaginal Uterosacral Ligament SuspensionUrogynecology, 2015
- Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse SurgeryObstetrics & Gynecology, 2014
- Laparoscopic uterosacral ligament suspension and sacral colpopexy: results and complicationsInternational Urogynecology Journal, 2014
- Comparison of 2 Transvaginal Surgical Approaches and Perioperative Behavioral Therapy for Apical Vaginal ProlapseJAMA, 2014
- Changes in prolapse surgery trends relative to FDA notifications regarding vaginal meshInternational Urogynecology Journal, 2013
- Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapseInternational Urogynecology Journal, 2005
- Transvaginal repair of vault prolapse: A reviewObstetrics & Gynecology, 1997
- The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunctionAmerican Journal of Obstetrics and Gynecology, 1996
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987