Short-term Outcomes of Non-robotic Single-incision Laparoscopic Sacrocolpopexy: A Surgical Technique

Study Objective: Our main purpose was to describe the surgical technique and short-term outcomes of single-incision laparoscopic sacrocolpopexy (S-LSC) for the treatment of pelvic organ prolapse (POP). Design: This study consisted of a retrospective analysis of 49 consecutive cases. Setting: This study was set at the Third Affiliated Hospital of Guangzhou Medical University from October 2016 to November 2017. Patients: The population for this study consisted of women with stage II to IV POP who met eligibility criteria for laparoscopic surgery. Interventions: S-LSC included the use of V-loc barbed suture and retroperitoneal tunneling, in addition to standard single-incision laparoscopic surgery techniques. All 49 cases were successfully completed. All cases included concomitant procedures; 42 (85.7%) had removal of the uterus and adnexa. The main measured outcomes include patient characteristics, peri-operative outcomes, and change in pelvic floor support (Pelvic Organ Prolapse Quantification System), and quality of life (Pelvic Floor Impact Questionnaire). Measurements and Main Results: All patients were parous, and 42.9% had a history of previous abdominal surgery. The mean operative duration from skin to skin was 201.20 +/- 46.53 minutes. The mean estimated blood loss was 27.0 +/- 16.6 mL. The mean pre- and post-operative Pelvic Organ Prolapse Quantification System scores were 2.2 +/- 1.1 cm versus - 2.6 +/- 0.5 cm for the Aa point and 3.2 +/- 2.8 cm versus -4.6 +/- 0.8 cm for the C point (p < .05 for both). The mean pre- and post-operative Pelvic Floor Impact Questionnaire scores were 106.4 +/- 18.9 versus 8.9 +/- 4.26 (p < .05), suggesting that S-LSC significantly improved physical prolapse and quality of life. Four patients suffered from postoperative complications (3 mesh exposure and 1 lumbosacral pain). Six patients complained of new onset of stress urinary incontinence. Conclusions: Single-incision laparoscopic sacrocolpopexy is a feasible method to manage POP. However, the long-term effects and complications need to be further investigated. (C) 2019 AAGL. All rights reserved.