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Scientific article
Open access
English

Laparoscopic Lateral Suspension (LLS) for the Treatment of Apical Prolapse : A New Gold Standard?

Published inFrontiers in surgery, vol. 9, 898392
Publication date2022
First online date2022-05-12
Abstract

Nowadays, the gold standard to treat apical pelvic organ prolapse (POP) is laparoscopic sacrocolpopexy (LSCP). However, LSCP is a difficult procedure associated with rare but potentially severe complications. Promontory dissection may expose to potential life-threatening intraoperative vascular injuries, and sacral roots or hypogastric nerve damage. There are also a few case reports of spondylodiscitis with consecutive lumbar vertebra bone erosion. Laparoscopic lateral suspension (LLS) with mesh is an alternative technique for apical POP repair. It lowers perioperative risks by avoiding sacral promontory preparation. Recent studies show similar anatomical and functional outcomes to LSCP, with the advantage of better preserving the vaginal axis. Moreover, LLS is well suited for hysteropexy which is important as an increasing number of women prefer uterine preservation during POP surgery. In this article, we discuss both techniques, and we share our opinion on a novel perspective in the treatment of apical POP with uterine preservation.

eng
Keywords
  • Apical prolapse
  • Hysteropexy
  • Lateral suspension
  • Pelvic organ prolapse
  • Sacrocolpopexy
Citation (ISO format)
DAELLENBACH, Patrick Peter. Laparoscopic Lateral Suspension (LLS) for the Treatment of Apical Prolapse : A New Gold Standard? In: Frontiers in surgery, 2022, vol. 9, p. 898392. doi: 10.3389/fsurg.2022.898392
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Article (Published version)
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ISSN of the journal2296-875X
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