A New Operation Technique for Uterine Prolapse: Vaginally Assisted Laparoscopic Sacrohysteropexy (VALSH)

Sanverdi, Ilhan; Kilicci, Cetin; Polat, Mesut; Ozkaya, Enis; Kılıç, Sami Gökhan; Dizdar, Merve; karateke, Ates

Ilhan Sanverdi¹, Cetin Kilicci¹, Mesut Polat¹, Enis Ozkaya², Sami Gökhan Kılıç³, Merve Dizdar⁴, Ates karateke⁵

¹Department of obstetrics and gynecology, Zeynep Kamil Women and Children’s Health Training and Research Hospital, Istanbul, TURKEY
²Associate professor, Department of obstetrics and gynecology, Zeynep Kamil Women and Children’s Health Training and Research Hospital, Istanbul, TURKEY
³***Professor, Female Pelvic Medicine and Reconstructive Surgery, Urogynecology Department of Obstetrics and Gynecology The University of Texas Medical Branch, TEXAS, USA
⁴****Resident, Department of obstetrics and gynecology, Umraniye Women and Children’s Health Training and Research Hospital, Istanbul, TURKEY
⁵*****Professor, Department of obstetrics and gynecology, Zeynep Kamil Women and Children’s Health Training and Research Hospital, Istanbul, TURKEY

Objectives: To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH).
Methods: Thirty-three women with stage III or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh related complications and improvements of symptoms. The operation had three sections; 1st Laparoscopic- 2nd Vaginal- 3rd Laparoscopic parts.
Results: Mean age, gravidity and parity of the study population were 46.5 (25-68 years), 4.3 (1-9), 2.9 (1-6) respectively. Mean duration of operation was 59.5 (20-120 min). There were significant differences between the pre-and post-operative values of POP-Q parameters which were favorable in latter evaluation (P < 0.001), total vaginal length was preserved after surgery (P > 0.05).
Conclusion: Vaginally assisted laparoscopic sacrocolpopexy is a safe and minimally invasive procedure in uterovaginal prolapse, with favorable anatomical and functional outcomes at 12 months follow-up postoperatively.

Keywords:

Ilhan Sanverdi, Cetin Kilicci, Mesut Polat, Enis Ozkaya, Sami Gökhan Kılıç, Merve Dizdar, Ates karateke. A New Operation Technique for Uterine Prolapse: Vaginally Assisted Laparoscopic Sacrohysteropexy (VALSH). . 2017; 14(3): 181-186

Corresponding Author: Enis Ozkaya, Türkiye