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  • Title: Long-term results of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy for uterovaginal prolapse.
    Author: Kim DH, Han SS, Lee IH.
    Journal: J Minim Invasive Gynecol; 2009; 16(6):687-91. PubMed ID: 19734108.
    Abstract:
    STUDY OBJECTIVE: To evaluate the long-term outcomes of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in high-grade uterovaginal prolapse. DESIGN: Retrospective analysis of medical records (Canadian Task Force Classification II-3). SETTING: University clinic center. PATIENTS: Fifty-one patients with grade 3 (22 patients) or 4 (29 patients) uterovaginal prolapse. INTERVENTIONS: We performed laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in 51 patients with grade 3 or 4 uterovaginal prolapse. MEASUREMENTS AND MAIN RESULTS: After a mean follow-up of 59.0 months (95% CI, 56.3-61.7), 51 patients (100.0%) had no sign or recurrence of prolapse. Postoperative transient abdominal discomfort, voiding difficulty, and vaginal spotting developed in 4 patients (7.8%), 2 patients (3.9%), and 1 patient (2.0%), respectively. CONCLUSION: Laparoscopic colposuspension using bilateral round-infundibulopelvic ligaments after hysterectomy could be an effective surgical option in the treatment of high-grade uterovaginal prolapse.
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