Laparoscopic sacral uteropexy with cravat technique-Experience and results

3Citations
Citations of this article
14Readers
Mendeley users who have this article in their library.

Abstract

Objective: The aim of the present study was to evaluate the safety and efficacy of a "Cravat'' technique for the management of uterine prolapse in patients who want to preserve uterus, involving suspension of the uterus from the sacral promontory by using polypropylene mesh. Materials and Methods: A prospective observational study between January 2011 and September 2013 was conducted. Prior to surgery, prolapse assessment was undertaken with Baden-Walker halfway system to grade the degree of prolapse at all sites. Patients with severe uterine prolapse (stage II-IV) who want to preserve uterus, were operated with Cravat technique. All patients were evaluated at 2 weeks and 6 weeks after surgery and followed for 6 months. Outcomes were evaluated objectively by vaginal examination using Baden-Walker halfway classification, and subjectively classifying patients as 'very satisfied', 'satisfied' and 'not satisfied' at the 6th month postoperatively. Results: Sacral uteropexy was successfully performed by laparoscopy in 32/33 patients (one needed to be converted to laparotomy). Nine patients also had a concurrent procedure as colporaphy anterior, colporaphy posterior or transobturator tape. Postoperative recovery has been uneventful with subjective and objective cure rates were 96.9% and 93.9%, respectively at six month. One recurrence of total prolapse needed to be reoperated and two patients with sacrouteropexy still remained at stage 2 prolapse. There have been no cases of graft exposure, rejection or infection with a median follow-up of 23.9 months. Conclusions: Laparoscopic sacral uteropexy with "Cravat technique" was found to be safe and simple procedure.

Cite

CITATION STYLE

APA

Api, M., Kayatas, S., Boza, A., Nazik, H., & Aytan, H. (2014). Laparoscopic sacral uteropexy with cravat technique-Experience and results. International Braz J Urol, 40(4), 526–532. https://doi.org/10.1590/S1677-5538.IBJU.2014.04.12

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free