Laparoscopic uterine suspension using three-stitch technique

T Gargiulo, Livio Leo, Victor Gomel
In: The Journal of the American Association of Gynecologic Laparoscopists · 2000 · vol. 7(2) , pp. 233–236 · doi:10.1016/s1074-3804(00)80046-8 · PMID:10806268 · W1983144614
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This paper describes a three-stitch technique for laparoscopic uterine suspension to treat uterine prolapse and retroversion.

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Abstract

We conducted a prospective, longitudinal study to assess the efficacy of a new laparoscopic hysteropexy technique in alleviating pelvic pain. Subjects were 50 women of reproductive age with chronic pelvic pain or dyspareunia in whom the only clinical finding was uterine retroversion who underwent laparoscopic uterine suspension using three-stitch technique. There were no intraoperative complications. The only postoperative complication was abdominal pain in one woman. The technique was effective in relieving symptoms in these patients. Of the 22 women who had associated infertility for longer than 3 years, 10 became pregnant within 1 year after surgery. This benefit, however, is likely due to couples' improved sex life rather than change in surgical axis of the uterus.

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