COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS
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Abstract
Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient.
Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan).
Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up.
Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
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Copyright (c) 2021 Fariska Zata Amani
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References
Gupta JK, Qureshi, SS. Pelvic Organ Prolapse: Prevalence and Risk Factors. American Journal of PharmTech Research. 2015.
Tseng LH, Chen I., Chang SD., et al. Modern Role of Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Surgery – A Systematic Review. Taiwanese Journal of Obstetrics and Gynecology. 2013; 52:311-317. https://doi.org/10.1016/j.tog.2012.11.002
Abrams P, Cardozo L, et al. The Standardization of Terminology of Lower Urinary Tract Function: Report from The Standardization Sub-Committee of The International Continence Society. Neurourol Urogyn 2002;21(2): 167-178.
Uzoma A, Farag KA. Vaginal Vault Prolapse. Obstetrics and Gynecology International. 2009. https://doi:10.1155/2009/275621
Marchionni M, Bracco GL, Checcucci V, et al. True Incidence of Vaginal Vault Prolapse: 13 Years of Experience. J Reprod Med. 1999;44: 679-684
Nygaard IE, Mccreery R, Brubaker L, at al. Abdominal Sacrocolpopexy: A Comprehensive Review. Obstet Gynecol. 2004;104(4):805–823
Barber MD, Maher C. Apical Prolapse. Int Urogynecol J. 2013;24:1815–1833
Higgins, et al. Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Collaboration. Version 5.1.0. 2011.
Coolen ALWM, Van Oudheusden AMJ, Mol BWJ, et al. Laparoscopic Sacrocolpopexy Compared with Open Abdominal Sacrocolpopexy for Vault Prolapse Repair: A Randomised Controlled Trial. Int Urogynecol J. 2017. https://doi.org/10.1007/S00192-017-3296-5.
Freeman RM, Pantazis K, Omson A, et al. A Randomized Controlled Trial of Abdominal versus Laparoscopic Sacrocolpopexy for The Treatment of Post-Hysterectomy Vaginal Vault Prolapse: LAS Study. Int Urogynecol J Pelvic Floor Dysfunct. 2013;24(3):377–84
Paraiso MF, Jelovsek JE, Frick A. Laparoscopic Compared with Robotic Sacrocolpopexy for Vaginal Prolapse: A Randomized Controlled Trial. Obstet Gynecol. 2011;118(5):1005–1.
Hammer A, Rositch AF, Kahlert J, Gravitt PE, Blaakaer J, Sogaard M. Global epidemiology of hysterectomy: possible impact on gynecological cancer rates. Am J Obstet Gynecol. 2015; 213: 23– 9.
Javier EBG, et al. Laparoscopic Sacrocolpopexy as Vaginal Vault Prolapse Treatment. Long-Term Outcomes. J Gynecol. 2017;2(S1): 000S1-004.
Parker IL, Shveiky D. Sacrocolpopexy for Treatment of Vaginal Apical Prolapse: Evidence Based Surgery. J Minim Invasive Gynecol. 2014;21(4): 546-557.
Reich H. Total Laparoscopic Hysterectomy: Indications, Techniques and Outcomes. Curr Opin Obstet Gynecol. 2007;19(4): 337-344.
Sabbagh R, Mandron E, Piussan J, et al. Long-Term Anatomical and Functional Results of Laparoscopic Promontofixation for Pelvic Organ Prolapse. BJU International. 2010;106(6): 861-866.
Granese R, Candiani M, Peino A, et al. Laparoscopic Sacrocolpopexy in The Treatment of Vaginal Vault Prolapse: 8 Years’ Experience. Eur J Obstet Gynecol Reprod Biol. 2009;146(2): 227-231.
Coolen ALWM, Bui BN, Dietz V, et al. The Treatment of Post Hysterectomy Vaginal Vault Prolapse: A Systematic Review and Meta-Analysis. Int Urogynecol J. 2017. https://doi.org/10.1007/S00192-017-3493-2
Campbell P, Cloney L, Jha S. Abdominal Versus Laparoscopic Sacrocolpopexy: A Systematic Review and Meta-Analysis. Obstet Gynecol Surv.2016; 71: 435–442.
Weber AM, Abrams P, Brubaker L, et al. The Standardization of Terminology for Researchers in Female Pelvic Floor Disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12:178–186