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Erschienen in: Archives of Gynecology and Obstetrics 5/2011

01.05.2011 | General Gynecology

Laparoscopic management of genital prolapse

verfasst von: Montasser A. Mahran, R. P. Herath, Ayman T. Sayed, Nicholas Oligbo

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2011

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Abstract

Introduction

Genital prolapse is one of the most common indications for gynaecological surgery. Surgery is performed traditionally via abdominal, vaginal and laparoscopic approaches.

Methods

A MEDLINE computer search was performed to explore the recent evidence behind laparoscopic surgery for female pelvic organ prolapse.

Results

Advances in minimal access surgery have led to an increase in adoption of laparoscopic techniques. Current evidence supports the use of laparoscopy for sacrocolpopexy and colposuspension as an alternative to open surgery. However, the introduction of less invasive midurethral sling procedures for stress incontinence has reserved laparoscopic colposuspension for special indications. The scientific evidence regarding uterosacral suspension procedures and paravaginal and vaginal prolapse repairs are sparse.

Conclusion

The current evidence supports the outcome of laparoscopic sacrocolpopexy as an alternative to open surgery. Further studies are required on the long-term efficiency in laparoscopic paravaginal repair and vaginal wall prolapse.
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Metadaten
Titel
Laparoscopic management of genital prolapse
verfasst von
Montasser A. Mahran
R. P. Herath
Ayman T. Sayed
Nicholas Oligbo
Publikationsdatum
01.05.2011
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1822-5

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