Laparoscopic approach to pelvic organ prolapse - the way to go or a blind alley?
complications
laparoscopic surgery
laparoscopy
mesh
pelvic organ prolapse
Journal
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
ISSN: 1895-4588
Titre abrégé: Wideochir Inne Tech Maloinwazyjne
Pays: Poland
ID NLM: 101283175
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
05
06
2019
accepted:
04
08
2019
entrez:
8
1
2020
pubmed:
8
1
2020
medline:
8
1
2020
Statut:
ppublish
Résumé
Pelvic organ prolapse represents a relatively frequent diagnosis that requires attention due to its detrimental effect on quality of life. Not surprisingly, it is one of the commonest indications for surgery in premenopausal and postmenopausal women, often requiring a complex multidisciplinary approach. Traditional vaginal procedures are being gradually replaced by laparoscopic techniques, offering anticipated benefits in reduced recurrence and complication rates, while respecting the trend towards uterus sparing if desirable. Recently, questions about the safety of alloplastic materials used in pelvic organ prolapse surgery were raised, leading to official restrictions in their use, particularly for transvaginal application. As a result, laparoscopic procedures might appear slightly favored but caution must be taken to assure proper technique of mesh placement while maintaining high awareness of possible long-term mesh-related complications that require close surveillance. Therefore, adequate education and training becomes even more important to achieve optimal results and to avoid possible serious medico-legal charges.
Identifiants
pubmed: 31908691
doi: 10.5114/wiitm.2019.88749
pii: 38034
pmc: PMC6939204
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
469-475Informations de copyright
Copyright: © 2019 Fundacja Videochirurgii.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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