Day case laparoscopic sacral colpopexy for genital prolapse

作者：Drapier E^*; De Poncheville L; Dannappel T; Clerc P; Smirnoff A

来源：Progres en Urologie, 2014, 24(1): 51-56.

DOI：10.1016/j.purol.2013.07.007

• Laparoscopy
• Day case
• Ambulatory surgery
• Pelvic organ prolapse
• Sacral colpopexy
• LESS
• SILS

Objective. - To demonstrate the feasibility of day case laparoscopic sacral colpopexy with the help of a fast tracking protocol.
Methods. - Three motivated patients suffering from external cystocele have been strictly selected from September 2011 to October 2011 according to criteria such as Body Mass Index, ASA score, comorbidities et French day case rules. Laparoscopic sacral colpopexies consisted in anterior and posterior polyesther meshes sutured with non-resorbable wires. We are used to proceed through a SILS(C) unique ombilical port. We have used standard and straight laparoscopic instruments and laparoscope. The bladder catheter has been removed two hours after surgery, the patients have been encouraged to stand up and they have received a light meal before Chung score has been quoted. The patients have been discharged in the evening before 7 pm.
Results. - The patients are 65, 67 and 66 years old, two of them had a past history of pelvic surgery. We did not deplore any complication during the procedure, no blood loss, no laparoscopic conversion (additional trocar); the procedures durations were 92, 120 and 124 min. These three patients have not been readmitted. Clinical examination has been scheduled between 6 and 8 weeks after surgery. We did not describe any pelvic or parietal complication, no early recurrence.
Conclusion. - We have demonstrated here the feasibility in good security conditions of day case laparoscopic sacral colpopexy for genital prolapse. A fast tracking protocol is essential and selecting the patients is required.

• 出版日期2014-1