Department of Gynecology and Obstetrics, West China Xiamen Hospital of Sichuan University, Xiamen, China.
Department of Emergency, The First Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang, China.
Arch Gynecol Obstet. 2024 Sep;310(3):1745-1748. doi: 10.1007/s00404-024-07686-w. Epub 2024 Aug 13.
Pelvic organ prolapse (POP) is a common condition that can affect up to 30% of women over the age of 50. For a long time, open abdominal and laparoscopic sacrocolpopexy (LSCP) have been considered the gold standard in the treatment of apical pelvic organ prolapse (POP). Promontory dissection may expose patients to potential life-threatening intraoperative vascular injuries, as well as damage to sacral roots or the hypogastric nerve. Laparoscopic lateral suspension could be considered as an alternative to LSCP in the treatment of POP due to its favorable objective and subjective outcomes. The aim of this article is to demonstrate a step-by-step approach to laparoscopic lateral suspension for POP with the goal of standardizing this procedure. Technical key points and the latest progress are summarized to provide a reference for subsequent gynecological and urological surgeons.
According to our surgical experience of our hospital, demonstrate a step-by-step approach and highlight technical key points for laparoscopic lateral suspension for POP with the aim of standardizing this procedure.
LLS with mesh is a safe alternative to laparoscopic sacropexy and is very well suited for uterine-preserving POP surgery. Nevertheless, this novel procedure lacks standardization. Standardization of procedures is necessary to reduce failure rates, generate impactful research data, and enhance patient safety. This article contributes to the standardization of this procedure, and we believe our article will be useful in assisting future gynecological and urological surgeons in performing this procedure.
盆腔器官脱垂（POP）是一种常见疾病，50 岁以上女性患病率高达 30%。长期以来，开放式经腹和腹腔镜骶骨阴道固定术（LSCP）被认为是治疗顶端盆腔器官脱垂（POP）的金标准。穹窿切开术可能使患者面临潜在的危及生命的术中血管损伤，以及骶神经根或腹下神经损伤的风险。由于腹腔镜侧方悬吊术具有良好的客观和主观效果，因此可被视为 LSCP 治疗 POP 的替代方法。本文旨在展示一种治疗 POP 的腹腔镜侧方悬吊术的分步方法，旨在规范该手术。总结技术要点和最新进展，为后续妇科和泌尿科医生提供参考。
根据我院的手术经验，展示一种治疗 POP 的腹腔镜侧方悬吊术的分步方法，并强调技术要点，旨在规范该手术。
带网片的 LLS 是腹腔镜骶骨固定术的安全替代方法，非常适合保留子宫的 POP 手术。然而，这种新的手术方法缺乏标准化。为了降低失败率、产生有影响力的研究数据并提高患者安全性，有必要对手术过程进行标准化。本文有助于规范该手术，我们相信我们的文章将有助于未来的妇科和泌尿科医生进行该手术。
