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• W1968694872 abstract "Objective: Our department performed laparoscopic correction of uterine or vault prolapse with cystocele and rectocele using the “Gynemesh PS.” The aim of this study was to evaluate the surgical outcomes and perioperative morbidity after a laparoscopic operation. Materials and Methods: From August 2004 to September 2005, we performed laparoscopic pelvic floor repairs in 6 cases of vault prolapse and 15 cases of uterine prolapse at the Department of Obstetrics and Gynecology at the Kyungpook National University Hospital (Daegu, Korea). Uterine and vault prolapse were repaired by laparoscopic rectocele and cystocele repair using the Gynemesh PS, uterosacral ligament suspension, paravaginal repair, and Burch colposuspension. In uterine prolapse, we also carried out a subtotal hysterectomy. The stage of prolapse was classified by means of the pelvic organ prolapse quantification (POPQ) system. Results: The mean age, Q-index, and parity were 64 years (range, 47–79), 24.6 (range, 18.7 ∼ 27.8), and 5 (range, 3 ∼ 10), respectively. Mean operation time was 141 minutes (range, 90 ∼ 211). Mean estimated blood loss was 53 mL (range, 20 ∼ 80). Mean hospital stay was 5 days (range, 3 ∼ 9 days). There were no major complications, but postoperative voiding difficulty developed in 1 case. Mean preoperative POPQ stage was 3 and immediate, 6-week, 3-month, 6-month, and 1-year postoperative POPQ score was 0. Mean follow-up period was 7.5 months (range, 3 ∼ 13). The objective success rate was 100%. Conclusions: Laparoscopic pelvic floor repair is an effective procedure and enables us to combine the advantages of laparotomy with the low morbidity of the vaginal route. In Europe, the sacrocolpopexy was more popular, but uterosacral ligament suspension is the most natural anatomic repair of defects and, hence, the least likely to be predisposed to future defects in the anterior or posterior vaginal wall or to compromise vaginal function. However, further studies are required on the long-term efficiency and reliability in order to evaluate the value of this technique." @default.
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• W1968694872 date "2008-02-01" @default.
• W1968694872 modified "2023-09-26" @default.
• W1968694872 title "Laparoscopic Management of Uterine Prolapse with Cystocele and Rectocele Using “Gynemesh PS”" @default.
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• W1968694872 doi "https://doi.org/10.1089/lap.2006.0026" @default.
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