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Erschienen in:
01.10.2012 | General Gynecology
Abdominal colposuspension with the use of tension-free tape at the lateral abdominal wall: a novel technique
Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2012
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Introduction
The aim of this study was to present a novel technique for the female pelvic organ prolapsed, an abdominal colpopexy at the lateral abdominal wall (ACLAW) using a tension-free tape and to compare it with the gold standard, the abdominal sacrocolpopexy (ASC).
Materials and methods
A retrospective comparative study was conducted consisting of 38 patients who underwent ACLAW and 40 patients who underwent ASC during the period 2007–2009. POP-Q data as well as PISQ-12 and POPDI-6 score values were recorded during a mean follow-up of 26.71 and 23.52 months for ACLAW and ASC groups, respectively. Parameters like operative time, blood loss and hospital stay time were evaluated as well.
Results
Except the 6-month point, anatomical outcome in terms of C point values and total vaginal length was comparable. Both score analyses did not demonstrate statistically significant differences between the groups. The novel technique was proved very much shorter (30 ± 10.2 vs. 125.93 ± 15.42 min, p < 0.001) and less hemorrhagic (1.68 ± 0.79 vs. 2.22 ± 1.08 g/dl reduction in hemoglobin level, postoperatively) than the traditional sacrocolpopexy. Hospital stay time did not demonstrate significant difference.
Conclusions
Based on the study results, ACLAW, a technique much easier and shorter than the traditional abdominal colpopexy results in comparable outcomes.