Endoscopic lateral fixation in the treatment of apical prolapse: three years of experience

• Aryutin Dmitriy G.
• Milana S. Lologaeva
• Vaganov Evgeniy F.
• Polina S. Melnik
• Armen O. Dukhin
• Mekan R. Orazov

Abstract

Aim - to determine the effectiveness of endoscopic lateral fixation with a prolene mesh implant to correct an apical prolapse.

Material and methods. In this prospective study we performed an analysis of the treatment of 110 patients with apical prolapse. As a treatment, patients were offered laparoscopic fixation of the cervix, its stump, or dome of the vagina using a T-shaped polypropylene implant (original method by Prof. Dubuisson J.B.).

Results. The duration of the operation averaged 85 minutes. Blood Loss during surgery averaged 100 ml. According to the results of observations, 93 out of 110 patients had a positive outcome of treatment without relapse and complications up to 36 months.

Conclusion. Laparoscopic lateral fixation is an effective and technically affordable method for correcting genital apical prolapse. It is also a safe alternative to classic sacrovaginopexy. the implementation of this manipulation does not require an expert level of knowledge of endoscopic surgery, which is no less important.

Keywords:pelvic organ prolapse, apical prolapse, sacrovaginopexy, prolene implants, lateral fixation

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