- Visibility 697 Views
- Downloads 788 Downloads
- Permissions
- DOI 10.18231/j.ijogr.v.12.i.3.3
-
CrossMark
Comparing laparoscopic pectopexy with traditional surgical approaches for apical prolapse: Systemic review
- Author Details:
-
Shatha Hallal AlZiyadi *
Shatha Hallal AlZiyadi *
Laparoscopic pectopexy is a relatively new technique for treating apical prolapse performed using laparoscopic instruments, allowing for smaller incisions, reduced post-operative pain, and faster recovery times compared to traditional surgical techniques. This systematic review aims to compare laparoscopic pectopexy with other surgical methods used to manage apical prolapse.
A comprehensive search was conducted in major medical databases for studies comparing laparoscopic pectopexy and other surgical techniques for apical prolapse management. Outcome measures included apical prolapse recurrence rates, intraoperative and post-operative complications, operation time, patient-reported outcomes, and quality of life assessments. A total of 11 studies were included in this systematic review, and they generally showed that both laparoscopic pectopexy is effective in treating apical prolapse, with low recurrence rates and minimal intraoperative complications. Laparoscopic pectopexy offers other benefits, such as shorter operation times, better patient-reported outcomes, and better post-operative quality of life than other methods.
References
- Bureau M, Carlson KV. Pelvic organ prolapse: a primer for urologists. Can Urol Assoc J. 2017;11(6 Suppl 2):S125–30.
- Kong MK, Bai SW. Surgical treatments for vaginal apical prolapse. Obstet Gynecol Sci. 2016;59(4):253–60.
- Razzak L. Pathophysiology of pelvic organ prolapse. In: Rizvi RM, editor. Pelvic Floor Disorders. InTech; 2018.
- Heusinkveld J, Gabra M. Laparoscopic fistula repair with concurrent Pectopexy: a case report. Continence Reports. 2023;6:100025.
- Schulten SFM, Claas-Quax MJ, Weemhoff M, van Eijndhoven HW, van Leijsen SA, Vergeldt TF, et al. Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis. Am J Obstet Gynecol. 2022;227(2):192–
- Yu P, Liu C. Laparoscopic pectopexy with native tissue repair for pelvic organ prolapse. Arch Gynecol Obstet. 2023;307(6):1867–72. 376 AlZiyadi / Indian Journal of Obstetrics and Gynecology Research 2025;12(3):369–376
- Yang Y, Li Z, Si K, Dai Q, Qiao Y, Li D, et al. Effectiveness of laparoscopic pectopexy for pelvic organ prolapse compared with laparoscopic sacrocolpopexy. J Minim Invasive Gynecol. 2023;30(10):833–40.e2
- Noé KG, Schiermeier S, Alkatout I, Anapolski M. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol. 2015;29(2):210–5.
- Szymczak P, Grzybowska ME, Wydra DG. Comparison of laparoscopic techniques for apical organ prolapse repair - a systematic review of the literature. Neurourol Urodyn. 2019;38(8):2031–50.
- Szymczak P, Grzybowska ME, Sawicki S, Futyma K, Wydra DG. Perioperative and long-term anatomical and subjective outcomes of laparoscopic pectopexy and sacrospinous ligament suspension for POP-Q stages II-IV apical prolapse. J Clin Med. 2022;11(8):2215.
- Kale A, Biler A, Terzi H, Usta T, Kale E. Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery. Int Braz J Urol. 2017;43(5):903–9.
- Bakir MS, Bagli I, Cavus Y, Tahaoglu AE. Laparoscopic pectopexy and paravaginal repair after failed recurrent pelvic organ prolapse surgery. Gynecol Minim Invasive Ther. 2020;9(1):42–4.
- Noé GK, Schiermeier S, Papathemelis T, Fuellers U, Khudyakov A, Altmann HH, et al. Prospective international multicenter pectopexy trial: interim results and findings post surgery. Eur J Obstet Gynecol Reprod Biol. 2020;244:81–6.
- Betschart C, Cervigni M, Contreras Ortiz O, Doumouchtsis SK, Koyama M, Medina C, et al. Management of apical compartment prolapse (uterine and vault prolapse): a FIGO Working Group report. Neurourol Urodyn. 2017;36(2):507–13.
- Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.
- Lo CKL, Mertz D, Loeb M. Newcastle-Ottawa Scale: comparing reviewers' to authors' assessments. BMC Med Res Methodol. 2014;14:45.
- Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
- Chuang FC, Chou YM, Wu LY, Yang TH, Chen WH, Huang KH. Laparoscopic pectopexy: the learning curve and comparison with laparoscopic sacrocolpopexy. Int Urogynecol J. 2022;33(7):1949–
- Biler A, Ertas IE, Tosun G, Hortu I, Turkay U, Gultekin OE, et al. Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, and laparoscopic pectopexy for apical prolapse. Int Braz J Urol. 2018;44(5):996–
- Astepe BS, Karsli A, Köleli I, Aksakal OS, Terzi H, Kale A. Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: a comparative study. Int Braz J Urol. 2019;45(5):999–1007.
- Obut M, Oğlak SC, Akgöl S. Comparison of the quality of life and female sexual function following laparoscopic pectopexy and laparoscopic sacrohysteropexy in apical prolapse patients. Gynecol Minim Invasive Ther. 2021;10(2):96–103.
- Anant M, Singh A, Gupta S, Agarwal M, Kumari S, Paswan A. Clinical and subjective outcomes of abdominal mesh surgery (sacrocolpopexy and sacrohysteropexy) for apical prolapse: a single-center experience. Pelviperineology. 2021;40(2):76–82.
- Bakir MS, Bagli I, Cavus Y, Tahaoglu AE. Laparoscopic pectopexy and paravaginal repair after failed recurrent pelvic organ prolapse surgery. Gynecol Minim Invasive Ther. 2020;9(1):42–4.
- Winget VL, Gabra MG, Addis IB, Hatch KK, Heusinkveld JM. Laparoscopic pectopexy for patients with intraabdominal adhesions, lumbar spinal procedures, and other contraindications to sacrocolpopexy: a case series. AJOG Global Reports. 2022;2:100034.
- Malanowska E, Soltes M, Starczewski A, Petri E, Jozwik M. Laparoscopic approach to pelvic organ prolapse - the way to go or a blind alley? Wideochir Inne Tech Maloinwazyjne. 2019;14(4):469–
- Jain N, Kamra J, Srinivas S. Laparoscopic pectopexy vs sacrohysteropexy/sacrocolpopexy in management of pelvic organ prolapse: a review of literature. Sch Int J Obstet Gynecol. 2020;3(8):187–91.
- Szymczak P, Grzybowska ME, Sawicki S, Wydra DG. Laparoscopic pectopexy-CUSUM learning curve and perioperative complications analysis. J Clin Med. 2021;10(5):1052.
- Coolen ALWM, van IJsselmuiden MN, van Oudheusden AMJ, Veen J, van Eijndhoven HWF, Mol BWJ, et al. Laparoscopic sacrocolpopexy versus vaginal sacrospinous fixation for vaginal vault prolapse, a randomized controlled trial: SALTO-2 trial, study protocol. BMC Womens Health. 2017;17(1):52.
- Kong W, Cheng X, Xiong G. A posterior approach to laparoscopic sacrospinous ligament suspension. JSLS. 2018;22(2):e2017.00105.
- Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(10):1415–22.
- Manodoro S, Werbrouck E, Veldman J, Haest K, Corona R, Claerhout F, et al. Laparoscopic sacrocolpopexy. Facts Views Vis Obgyn. 2011;3(3):151–8.
- Sauerwald A, Niggl M, Puppe J, Prescher A, Scaal M, Noé GK, et al. Laparoscopic pectopexy: a biomechanical analysis. PLoS One. 2016;11(2):e0144143.
- Szymczak P, Wydra DG. Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy. Ginekol Pol. 2021. doi:10.5603/GP.a2021.0163
[Google Scholar] - Nezhat C, Burns MK, Wood M, Nezhat C, Nezhat A, Nezhat F. Vaginal cuff dehiscence and evisceration: a review. Obstet Gynecol. 2018;132(4):972–85.
- Heusinkveld J, Khandekar M, Winget V, Tigner A, Addis I. Pectopexy vs sacrocolpopexy: an analysis of 50 cases in a North American hospital. AJOG Glob Rep. 2023;3(3):100254.