Evaluation of laparoscopic lateral suspension as a uterine sparing procedure

Abstract

Laparoscopic sacrocolpopexy has been standardizing, however, LSC has some problems due to complicated procedures and long operation time, as an operation for QOL disease. In addition, pelvic organ prolapse (POP) operation with uterine preservation has been important in foreign countries. Therefore, we introduced laparoscopic lateral suspension (LLS) with uterine preservation. LLS is one of the laparoscopic mesh surgeries for POP that suspends prolapsed organs laterally and it does not require exposure of the sacral promontory. Here, we evaluate retrospectively the perioperative results of uterine preserving LLS as a first choice for POP.Forty-three POP patients with pelvic floor level I and/or II injury underwent LLS in our hospital were included in this study. Perioperative complications, pre/post-operative POP-Q score, and so on were analyzed. Average age was 73.3 years old, median surgical time was 100 (58–210) minutes, and blood loss was 10 (5–230) ml. No severe complications were observed during the perioperative period. Transvaginal mesh surgery and posterior vaginal repair were performed for two cases of recurrent rectocele. LLS is a lower invasive surgery without promontory exposure and has fewer serious complication.