Pregnancy after laparoscopic hysteropexy: Is there a prolapse recurrence?


Journal

Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 19 04 2023
revised: 21 08 2023
accepted: 28 08 2023
medline: 30 10 2023
pubmed: 1 9 2023
entrez: 31 8 2023
Statut: ppublish

Résumé

Laparoscopic hysteropexy is a surgery of choice for woman with pelvic organ prolapse wishing to retain fertility. There are few cases of pregnancies after this surgery as standard practice recommends to fulfil their family project before undergoing laparoscopic prolapse surgery. Our operative technique involves the use of 2 polypropylene meshes, one placed anteriorly and one posteriorly, they are attached to the cervix and together through the cervix. There is no compression on the uterine arteries as we do not encircle the cervix and there is no concern on blood flow to the uterus. The patient had a gestational diabetes with an oversize baby in breech position. A caesarean section was planned due to the babies' position and weight. The patient delivered a healthy baby and 10 months after the surgery the patient did not have recurrence of pelvic organ prolapse.

Identifiants

pubmed: 37652284
pii: S2468-7847(23)00128-9
doi: 10.1016/j.jogoh.2023.102661
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

102661

Informations de copyright

Copyright © 2023 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Françoise Futcher (F)

Department of Gynecological Surgery, CHU Estaing, 1 rue Lucie et, Raymond Aubrac, Clermont Ferrand 63100, France. Electronic address: futcher.f@outlook.fr.

Nassir Habib (N)

Department of Obstetrics and Gynecology, Francois Quesnay Hospital, 2 boulevard Sully, 78201 Mantes-la-Jolie, France.

Anne Deshaies (A)

Department of Gynecological Surgery, CHU Estaing, 1 rue Lucie et, Raymond Aubrac, Clermont Ferrand 63100, France.

Revaz Botchorishvili (R)

Department of Gynecological Surgery, CHU Estaing, 1 rue Lucie et, Raymond Aubrac, Clermont Ferrand 63100, France.

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Classifications MeSH