An update on the laparoscopic approach to urogynecology and pelvic reconstructive procedures
2008; Lippincott Williams & Wilkins; Volume: 20; Issue: 5 Linguagem: Inglês
10.1097/gco.0b013e32830fe3a3
ISSN1473-656X
AutoresGouri B. Diwadkar, Chi Chiung Grace Chen, Marie Fidela R. Paraiso,
Tópico(s)Anorectal Disease Treatments and Outcomes
ResumoPurpose of review To review the evidence behind laparoscopic pelvic organ prolapse and urinary incontinence repair. Recent findings A review of the recent literature continues to support the use of laparoscopy for colposuspension and sacral colpopexy as a viable alternative for open surgery. Polypropylene mid-urethral slings are comparable, if not better than laparoscopic Burch, though most data are short-term. The literature regarding other laparoscopic prolapse procedures, such as uterosacral ligament suspension, paravaginal defect repair, and rectocele repair is sparse. Summary Short-term studies support the use of laparoscopy in urogynecology and reconstructive pelvic surgery. However, longer term studies are needed to confirm these findings.
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