Language
English
Publication Date
1-1-2022
Journal
Frontiers in Surgery
DOI
10.3389/fsurg.2022.911553
PMID
35923438
PMCID
PMC9339651
PubMedCentral® Posted Date
7-18-2022
PubMedCentral® Full Text Version
Post-print
Abstract
Objective
This study aims to investigate the feasibility and short-term efficacy of single-port laparoscopic-assisted transvaginal natural cavity endoscopic sacrospinous ligament suspensions (SvNOTES).
Methods
A total of 30 patients diagnosed with anterior or/and middle pelvic organ prolapse Stages III and IV underwent natural vaginal cavity (SvNOTES), and 30 patients who underwent conventional sacrospinous ligament (SSLF) were used as a control group. The operation time, blood loss, postoperative POP-Q score, length of hospital stay, and complications were compared between the two groups.
Results
The operation time for SvNOTE was (60 ± 13) min, which was longer than (30 ± 15) min for SSLF (P = 0.04). However, the bleeding amount in SvNOTE was 29.44 ± 2.56, significantly lower than that in the SSLF group (80 ± 10; P = 0.02), and the postoperative hospital stay in the SvNOTE group was (4 ± 2) days, longer than (3 ± 1) days in SSLF (P = 0.02). However, there were no intraoperative complications in the SvNOTE group, whereas one ureteral injury occurred in the SSLF group; in addition, the postoperative POP-Q score was significantly better in the SvNOTE group than that in the SSLF group with increasing time (P < 0.001).
Conclusion
Compared with SSLF, single-port laparoscopic sacrospinous ligament suspension via the natural vaginal cavity is visualized, greatly improving the success rate of sacrospinous ligament fixation, with less blood loss and fewer complications, arguably a safer and minimally invasive surgical approach.
Keywords
pelvic floor dysfunction (PFD), sacrospinal ligament fixation, surgery, single-port laparoscopic, natural vaginal cavity
Published Open-Access
yes
Recommended Citation
Lyu, Yuanyuan; Ding, Huafeng; Ding, Jin; et al., "Single-Port Laparoscopic Sacrospinous Ligament Suspension via the Natural Vaginal Cavity (SvNOTES) for Pelvic Prolapse: The First Feasibility Study" (2022). Faculty and Staff Publications. 2640.
https://digitalcommons.library.tmc.edu/baylor_docs/2640