Pitsillidi Anna, Protopapas Athanasios, Gkrozou Fani, Daniilidis Angelos
Department of Obstetrics and Gynecology, Rheinland Klinikum Dormagen, Dormagen, Germany.
Department of Obstetrics and Gynecology, University of Athens, "Alexandra" Hospital, Athens, Greece.
Facts Views Vis Obgyn. 2025 Mar 28;17(1):30-38. doi: 10.52054/FVVO.2024.13381.
Pelvic organ prolapse (POP) is a common gynaecological condition that can have an adverse impact on women's quality of life. Apical prolapse refers to the descending of the vaginal apex, uterus or cervix. Nowadays, laparoscopic sacropexy (LS) is the gold standard surgical method for the treatment of apical prolapse. However, defecation and urinary problems are often detected in patients who underwent LS. Laparoscopic pectopexy (LP) is a newer procedure for apical prolapse correction that uses the iliopectineal ligaments as fixation point for the surgical mesh.
To review the current evidence of the effectiveness and safety of LP and compare outcomes with other commonly used techniques for apical prolapse treatment.
A literature search was carried out in MEDLINE, PubMed and ClinicalTrials.gov databases. The search was restricted to humans, female patients and currently used surgical procedures.
The current recommendations from leading global scientific associations and prevailing trends in accepted clinical protocols.
LP was found to have shorter learning curve and operating times, better improvement in quality of life scores including sexual function and low complication rates.
LP appears to be a viable alternative to LS. However, further prospective, comparative studies are necessary to evaluate its long-term effectiveness and morbidity.
WHAT IS NEW?: This review summarises the evidence and current role of LP in the treatment of POP.
盆腔器官脱垂（POP）是一种常见的妇科疾病，会对女性生活质量产生不利影响。顶端脱垂是指阴道顶端、子宫或宫颈下降。如今，腹腔镜骶骨固定术（LS）是治疗顶端脱垂的金标准手术方法。然而，接受LS手术的患者常出现排便和排尿问题。腹腔镜耻骨梳韧带固定术（LP）是一种用于矫正顶端脱垂的新手术，它使用髂耻韧带作为手术网片的固定点。
回顾LP有效性和安全性的现有证据，并将其结果与其他常用的顶端脱垂治疗技术进行比较。
在MEDLINE、PubMed和ClinicalTrials.gov数据库中进行文献检索。检索限于人类、女性患者和当前使用的外科手术。
全球主要科学协会的当前建议和公认临床方案中的流行趋势。
发现LP学习曲线和手术时间更短，包括性功能在内的生活质量评分改善更好，并发症发生率低。
LP似乎是LS的可行替代方案。然而，需要进一步的前瞻性比较研究来评估其长期有效性和发病率。
新进展是什么？：本综述总结了LP在治疗POP中的证据和当前作用。
