Sacrocolpopexia laparoscópica como tratamiento del prolapso de órganos pélvicos: serie de casos

Pelvic organ prolapse is a frequent entity and is the cause of high morbidity in the female population. The criterion standard for resolving apical prolapse is sacrocolpopexy, which is usually performed through laparotomy. However, the laparoscopic approach is now being carried out with greater frequency because it is a treatment alternative with the benefits of minimally invasive surgery and no higher incidence of complications has been reported.

Aims

To review a case series of laparoscopic sacrocolpopexy with the following variables: surgery duration, blood loss, conversion, hospital stay, and 6-month follow-up.

Materials and methods

The study was retrospective, observational, and analytic. Fourteen cases of sacrocolpopexy were reviewed and divided into 2 groups. One case was excluded due to endometrial malignancy. The continuous variables were expressed as mean and standard deviation (SD) or median and interquartile range.

Results

The sacrocolpopexy group was made up of 6 patients with a mean age of 62.2 years (SD = 4.7), mean surgery duration of 171 min (SD = 43.4), and mean blood loss of 90 cc (SD = 50.9). Two patients presented with complications.

The hysterectomy plus sacrocolpopexy group had 7 patients with a mean age of 54.4 years (SD = 4.4), mean surgery duration of 198 min (SD = 26.9), and median blood loss of 125 cc (interquartile range 62.5-337). No complications or conversions to laparotomy were registered.

Conclusions

Laparoscopic sacrocolpopexy is a safe and accessible procedure in our environment that offers the benefits of minimally invasive surgery.