Objectives: Pelvic organ prolapse (POP) is common and increasing along with the aging of the Japanese population. After beginning to perform laparoscopic sacral colpopexy (LSC) at our hospital in 1999, we sought the best procedure for the first few years, eventually settling upon vaginal total hysterectomy (VTH) + colporrhaphy + LSC as our basic method. Herein, we review and report our surgical outcomes.
Methods: During January 2001 – December 2014, we performed LSC in 107 patients. We reviewed their cases retrospectively using medical records. Follow-up data were available for 104 patients. We divided patients into five groups by operative procedure: Group 1 (62 cases), VTH + colporrhaphy + LSC; Group 2 (10 cases), colporrhaphy + LSC; Group 3 (11 cases), total laparoscopic hysterectomy (TLH) + LSC; Group 4 (8 cases), LSC (uterus preserved); and Group 5 (13 cases), double mesh LSC.
Results: For Group 1, the mean operating time (MOT) was 111.2 min, with mean estimated blood loss (MBL) of 62.9 ml. For Group 2, MOT was 108.5 min; MBL was 32.5 ml. Group 3 patients showed MOT of 168.2 min and MBL of 89.2 ml. Group 4 patients showed MOT of 118.5 min and MBL of 36.3 ml. For Group 5 patients, the MOT was 107.7 min and MBL was 40.4 ml. Recurrence occurred in each of Groups 3 and 4. No complication was found in any patient.
Conclusion: Results demonstrate that our LSC can be performed safely, with low risk of POP recurrence.
