Title: The challenge of implementing laparoscopic sacrocolpopexy
Authors: Deprest, Jan ×
Krofta, Ladislav
Van der Aa, Frank
Milani, Alfredo L
Den Boon, Jan
Claerhout, Filip
Roovers, Jan-Paul #
Issue Date: Sep-2014
Publisher: Springer International
Series Title: International Urogynecology Journal vol:25 issue:9 pages:1153-60
Abstract: Vaginal-vault prolapse is effectively treated using sacrocolpopexy (SCP). A randomized trial demonstrated that it can be performed as effectively via laparoscopy (LSCP) as via laparotomy and with less morbidity. This evidence begs the question of how units offering abdominal sacrocolpopexy will implement LSCP. Several limitations need to be overcome. LSCP initially requires longer operating time; however, that decreases with surgeon experience. To decrease operation time, suture training can be implemented ahead. Following a 15-h suturing lab, trainees achieved comparable operation times after 30 cases. Dissection is another critical time-consuming step and is difficult to model. Proficiency is more dependent on patient characteristics, though this component is poorly studied. One experience showed it takes 60 procedures to effectively limit complications. The large number of patients required for surgeon training for this relative infrequent operation creates a problem, thus limiting the number of centers available for training surgeons within a reasonable period.
ISSN: 0937-3462
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Organ Systems (+)
Stem Cell Biology and Embryology (+)
Studiegebied Gezondheidszorg - VIVES Noord
× corresponding author
# (joint) last author

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