Laparoscopic approach to pelvic organ prolapse – the way to go or a blind alley?

Ewelina Malanowska; Marek Soltes; Andrzej Starczewski; Eckhard Petri; Marcin Jozwik

doi:10.5114/wiitm.2019.88749

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abstract:

Review paper

Laparoscopic approach to pelvic organ prolapse – the way to go or a blind alley?

Ewelina Malanowska

¹

,

Marek Soltes

²

,

Andrzej Starczewski

¹

,

Eckhard Petri

³

,

Marcin Jozwik

⁴

Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University, Szczecin, Poland
I Department of Surgery, Pavol Jozef Safarik University, Kosice, Slovak Republic
Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany
Department of Gynecology and Obstetrics, University of Warmia and Mazury, Olsztyn, Poland

Videosurgery Miniinv 2019; 14 (4): 469–475

DOI: https://doi.org/10.5114/wiitm.2019.88749

Online publish date: 2019/10/15

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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.

keywords:

Laparoscopic approach to pelvic organ prolapse – the way to go or a blind alley?

Ewelina Malanowska 1 , Marek Soltes 2 , Andrzej Starczewski 1 , Eckhard Petri 3 , Marcin Jozwik 4

complications, laparoscopy, laparoscopic surgery, mesh, pelvic organ prolapse

Ewelina Malanowska

¹

,

Marek Soltes

²

,

Andrzej Starczewski

¹

,

Eckhard Petri

³

,

Marcin Jozwik

⁴