print ISSN: 2411-3956
Azərbaycanca Русский
New aspects of the laparoscopic approach in the treatment of pelvic organ prolapse
##common.pageHeaderLogo.altText## Actual Questions of Modern Gynecology and Perinatology
Vol. 12 No. 1 (2025)
Original article

New aspects of the laparoscopic approach in the treatment of pelvic organ prolapse

Published: March 5, 2025
DOI: https://doi.org/10.28942/mgpam.v12i1.159

Abstract

Pelvic organ prolapse occurs in more than 50% of perimenopausal women. The main goal of treatment is to restore the abnormal topographical anatomy that causes dysfunction of the pelvic organs. Recently, there have been significant changes in the surgical treatment of POP. Traditional vaginal procedures have been replaced by laparoscopic methods and better clinical results have been achieved. Pectopexy in laparoscopic operations has a number of advantages, the most important of which are: it allows the surgeon to use the pelvic region extensively for complex surgery, it does not narrow the pelvic cavity, so defecation and urination disorders are not expected after the operation, the recurrence rate of apical prolapse after the operation is expected to be very low, and chances of injury during surgery are low.

References

Chow D, Rodríguez LV. Epidemiology and prevalence of pelvic organ prolapse. Curr Opin Urol. 2013;23:293–8. doi: 10.1097/MOU.0b013e3283619ed0. [DOI] [PubMed] [Google Scholar]

Barber MD, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J. 2013;24:1783–90. doi: 10.1007/s00192-013-2169-9. [DOI] [PubMed] [Google Scholar]

Barber MD. Pelvic organ prolapse. BMJ. 2016;354:i3853. doi: 10.1136/bmj.i3853. [DOI] [PubMed] [Google Scholar] Актуальные вопросы современной гинекологии и перинатологии 12 №01/2025 21

Persu C, Chapple CR, Cauni V, et al. Pelvic Organ Prolapse quantification system (POP–Q) – a newera in pelvic prolapse staging. Med Life J. 2011;4:75–81. [PMC free article] [PubMed] [Google Scholar]

DeLancey JO. Anatomy and biomechanics of genital prolapse. Clin Obstet Gynecol. 1993;36:897–909. doi: 10.1097/00003081-199312000-00015. [DOI] [PubMed] [Google Scholar]

Geynisman-Tan J, Kenton K. Surgical updates in the treatment of pelvic organ prolapse. Rambam Maimonides Med J. 2017;8:e0017. doi: 10.5041/RMMJ.10294. [DOI] [PMC free article] [PubMed] [Google Scholar]

Hallock JL, Handa VL. The epidemiology of pelvic floor disorders and childbirth: an update. Obster Gynecol Clin North Am. 2016;43:1–13. doi: 10.1016/j.ogc.2015.10.008. [DOI] [PMC free article] [PubMed] [Google Scholar]

Staer-Jensen J, Siafarikas F, Hilde G, et al. Postpartum recovery of levator hiatus and bladder neck mobility in relation to pregnancy. Obstet Gynecol. 2015;125:531–9. doi: 10.1097/AOG.0000000000000645. [DOI] [PubMed] [Google Scholar]

Park YH, Yang SC, Park ST, et al. Laparoscopic reconstructive surgery is superior to vaginal reconstruction in the pelvic organ prolapse. Int J Med Sci. 2014;10:1082–8. doi: 10.7150/ijms.9027. [DOI] [PMC free article] [PubMed] [Google Scholar]

Tailor D. The failure of polypropylene surgical mesh in vivo. J Mech Behav Biomed Mater. 2018;88:370–6. doi: 10.1016/j.jmbbm.2018.08.041. [DOI] [PubMed] [Google Scholar]

Barski D, Arndt C, Gerullis H, et al. Transvaginal PVDF-mesh for cystocele repair: a cohort study. Int J Surg. 2017;39:249–54. doi: 10.1016/j.ijsu.2017.02.006. [DOI] [PubMed] [Google Scholar]

Di Biase M, Illiano E, Sarti E, et al. Polyvinyldenfluorid (PVDF) versus polypropylene (PP) mesh for sacrocolpopexy. J Urol. 2017:197: e354. [Google Scholar]

Dällenbach P. To mesh or not to mesh: a review of pelvic organ reconstructive surgery. Int J Womens Health. 2015;7:331–43. doi: 10.2147/IJWH.S71236. [DOI] [PMC free article] [PubMed] [Google Scholar]

Bissoli J, Bruschini H. Scaffolds for pelvic floor prolapse: logical pathways. Int J Biomater. 2018;2018:8040893. doi: 10.1155/2018/8040893. [DOI] [PMC free article] [PubMed] [Google Scholar]

Barski D, Otto T, Gerullis H. Systematic review and classification of complications after anterior, posterior, apical, and total vaginal mesh implantation for prolapse repair. Surg Technol Int. 2014;24:217–24. [PubMed] [Google Scholar]

Shah HN, Badlani GH. Mesh complications in female pelvic floor reconstructive surgery and their management: a systematic review. Indian J Urol. 2012;28:129–153. doi: 10.4103/0970- 1591.98453. [DOI] [PMC free article] [PubMed] [Google Scholar]

Epstein M, Emri I, Hartemann P, et al. Opinion on the use safety of surgical meshes used in urogynecological surgery. SCENIHR - European Commission. 2015. retrieved from https://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_049.pdf.

Chapple CH, Cruz F, Deffieux X, et al. Consensus statement of the European Urology Association and the European Urogynaecological Association on the use of implanted materials for treating pelvic organ prolapse and stress urinary incontinence. Eur Urol. 2017;72:424–31. doi: 10.1016/j.eururo.2017.03.048. [DOI] [PubMed] [Google Scholar]

Urogynecologic Surgical Mesh: Update on the Safety and Effectiveness of Transvaginal Placement for Pelvic Organ Prolapse. FDA; 2011. https://www.fda.gov/downloads/medicaldevices/safety/ alertsandnotices/ucm262760.pdf. [Google Scholar]

Urogynecologic Surgical Mesh Implants. FDA; 2019. https://www.fda.gov/medical-devices/ implants-and prosthetics/urogynecologic-surgical-mesh-implants. [Google Scholar]

Surgical mesh implants – regulatory action on surgical mesh products. Medsafe; 2018. https://www.medsafe.govt.nz/hot/alerts/UrogynaecologicaSurgicalMeshImplants.asp. [Google Scholar]

Hijazi S, Echtle D, Aboumarzouk OM, et al. Abdominal sacrocolpopexy with Pelvicol xenograft and concomitant Burch colposuspension. Int J Womens Health. 2017;9:625–30. doi: 10.2147/IJWH.S134239. [DOI] [PMC free article] [PubMed] [Google Scholar]

PDF (Azərbaycanca)
PDF (Azərbaycanca)

Keywords

Pelvic organ prolapse, types of treatment, laparoscopy, sacropexy, pectopexy Pelvik orqan prolapsı, müalicə növləri, laparoskopiya, sakropeksiya, pektopeksiya пролапс тазовых органов, виды лечения, лапароскопия, сакропексия, пектопексия

Most read articles by the same author(s)

<< < 1 2 3 > >>