ORIGINAL ARTICLE   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2019 October;178(10):821-8

DOI: 10.23736/S0393-3660.18.03971-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Pelvic organs prolapse laparoscopy lateral suspension with mesh: modification of the Dubuisson technique

Nardo TOLA ¹, Fabio MEDAS ², Maurizio ARRAS ² ✉

¹ Department of Gynecologic Surgery, Sant’Elena Nursing Home, Quartu Sant’Elena, Cagliari, Italy; ² Department of General Surgery, Sant’Elena Nursing Home, Quartu Sant’Elena, Cagliari, Italy

BACKGROUND: The laparoscopic procedure is proposed as an alternative, minimally invasive technique to restore normal anatomy, improve symptoms in patients with POP (pelvic organ prolapse). We wanted to evaluate the results with a follow-up of 18.6 months of the surgical technique of lateral suspension of pelvic organ prolapse by laparoscopy (POP-LLS), using polypropylene mesh.
METHODS: This retrospective study was performed on female patients undergoing surgery for hysterocele, cystocele and/or symptomatic rectocele between June 2013 and October 2015 in the gynecological unit of the Sant’Elena Clinic in Quartu Sant’Elena, Cagliari, Sardinia (Italy).
RESULTS: No cases (out of 100 patients in total) of relapse of the prolapse of the anterior or central compartment occurred in any of the patients undergoing POP-LLS and there were no cases of erosion or extrusion of the prosthesis. The postoperative presence of rectocele ex novo in 4 patients (4%) of cases was highlighted. A resolution or improvement of the SUI was observed in 31 cases out of 42 (73.8%). An improvement in urgency incontinence was found in 31 cases out of 31 women (100%).
CONCLUSIONS: The POP-LLS surgical procedure presents promising results. However, it will be important to evaluate this technique on a larger number of patients and with a follow-up of at least 3-5 years to extend the results reported here on the outcome of POP-LLS.

KEY WORDS: Pelvic organ prolapse; Laparoscopy; Uterus