Abdominal colposuspension with the use of tension-free tape at the lateral abdominal wall: a novel technique

作者：Papadopoulos A E^*; Tsalikis T; Tzevelekis F; Grimbizis G; Papameletiou V; Tarlatzis V

来源：Archives of Gynecology and Obstetrics, 2012, 286(4): 977-981.

DOI：10.1007/s00404-012-2388-1

• Abdominal colpopexy at the lateral abdominal wall
• Sacrocolpopexy
• Pelvic organ prolapse

The aim of this study was to present a novel technique for the female pelvic organ prolapsed, an abdominal colpopexy at the lateral abdominal wall (ACLAW) using a tension-free tape and to compare it with the gold standard, the abdominal sacrocolpopexy (ASC). %26lt;br%26gt;A retrospective comparative study was conducted consisting of 38 patients who underwent ACLAW and 40 patients who underwent ASC during the period 2007-2009. POP-Q data as well as PISQ-12 and POPDI-6 score values were recorded during a mean follow-up of 26.71 and 23.52 months for ACLAW and ASC groups, respectively. Parameters like operative time, blood loss and hospital stay time were evaluated as well. %26lt;br%26gt;Except the 6-month point, anatomical outcome in terms of C point values and total vaginal length was comparable. Both score analyses did not demonstrate statistically significant differences between the groups. The novel technique was proved very much shorter (30 +/- A 10.2 vs. 125.93 +/- A 15.42 min, p %26lt; 0.001) and less hemorrhagic (1.68 +/- A 0.79 vs. 2.22 +/- A 1.08 g/dl reduction in hemoglobin level, postoperatively) than the traditional sacrocolpopexy. Hospital stay time did not demonstrate significant difference. %26lt;br%26gt;Based on the study results, ACLAW, a technique much easier and shorter than the traditional abdominal colpopexy results in comparable outcomes.

• 出版日期2012-10