Evaluation of a Laparoscopic Sacropexy Technique: The Y Shape Method

Fopa S, Bonomo I, Gerday A, Squifflet JL, Jadoul P, Maillard C and Luyckx M

Department of Gynecology and Obstetrics, Hôpital de Jolimont, Belgium Department of Breast and Reconstructive Surgery, Institut Bergonié, Centre de Lutte Contre le Cancer de Bordeaux, France Department of Gynecology and Andrology, Cliniques Universitaires Saint-Luc, Belgium

^*Correspondance to: Fopa Mafomena Suzy Feur 

 PDF  Full Text Research Article | Open Access

Abstract:

Study objective: to review the feasibility, efficacy, and safety of laparoscopic promontofixation with a Y- shape mesh “trouser technique”, combined with a systematic supra-cervical hysterectomy. Methods: In this monocentric retrospective analysis, we included all women who underwent laparoscopic sacropexy with a Y-shape mesh between June 2005 to February 2020. Professor Jean- Luc Squifflet established the technique in our department. A supracervical hysterectomy is systematically perform during the same procedure if the uterus is still present. Preoperative evaluation, operative techniques, complications, short- and long-term outcomes were assessed. Results: In this study, a total of 185 patients were included, with a mean age of 60.5 ± 9.8 years and a mean parity of 2.8 ± 1.7. The primary complaint reported before undergoing laparoscopic sacrofixation was vaginal discomfort. The mean operative time for patients who underwent laparoscopic sacrofixation with supracervical hysterectomy was 119 min, whereas for those had previously undergone supracervical hysterectomy, it was 105 min. We had 5 intraoperative complications (3 vesical breaches, 1 vaginal perforation, and 1 case of inhalation pneumonitis with an inflammatory syndrome and peripheral pulmonary embolism). The average hospital stay duration was 3.1 days. During postoperative consultations, 94% of the patients reported being completely satisfied. We have recorded long term follow up for 95 patients. Among them, we noted 2 cases of relapse, 12 patients reported complaints of constipation, and 1 patient experienced mesh erosion. Conclusion: Laparoscopic sacropexy with a Y-shape mesh is a feasible, safe and efficient technique associated with a low rate of complications and relapse.

Keywords:

Pelvic organ prolapse; Laparoscopic sacropexy; the Y shape method; Supra-cervical
hysterectomy

Cite the Article:

Fopa S, Bonomo I, Gerday A, Squifflet JL, Jadoul P, Maillard C, et al. Evaluation of a Laparoscopic Sacropexy Technique: The Y Shape Method. World J Surg Surgical Res. 2024; 7: 1520..