E-Posters-Anatomical Outcomes and Patient Satisfaction in Women Undergoing Open versus Laparoscopic Sacralcolpopexy for Apical Prolapse

Anatomical Outcomes and Patient Satisfaction in Women Undergoing Open versus Laparoscopic Sacralcolpopexy for Apical Prolapse - Carlos Rondini, MD

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This study compared anatomical outcomes and patient satisfaction in women undergoing open sacralcolpopexy versus laparoscopic sacralcolpopexy for apical prolapse. The retrospective cohort study evaluated patients from January 2010 to December 2018. Success was defined as POP-Q Ba and Bp < -1 cm for the anterior and posterior wall and POP-Q point C not descending further than 1/3 of the total vaginal length for the apical compartment. Patient satisfaction was evaluated using a surgical recommendation question and the Patient Global Improvement Index (PGI-I). <br /><br />Results showed that 259 women underwent laparoscopic sacralcolpopexy (LS C) and 119 women underwent open sacralcolpopexy (ASC). Baseline demographic information and surgical variables were similar in both groups. The mean follow-up was comparable, while surgical time was significantly longer in the laparoscopic group. Hospital stay was similar in both groups. <br /><br />When analyzing the different compartments, the apical compartment had a lower failure rate in the laparoscopic group (4 cases) compared to the open group (9 cases). The anterior and posterior compartments also had lower failure rates in the laparoscopic group (11 and 2 cases, respectively) compared to the open group (21 and 16 cases, respectively). Patient willingness to recommend the surgery and overall satisfaction were similar in both groups. <br /><br />In conclusion, the laparoscopic approach offers better anatomical results but is associated with longer surgeries. However, there were similar rates of intraoperative complications and patient satisfaction between the two approaches.

Keywords

anatomical outcomes

patient satisfaction

open sacralcolpopexy

laparoscopic sacralcolpopexy

apical prolapse

retrospective cohort study

POP-Q

surgical recommendation

Patient Global Improvement Index

surgical variables