Abstract
Background: laparoscopic sacrohysteropexy is a well-established surgical treatment for uterine prolapse. However, the operative time remains a concern due to technical complexity. Modifications in surgical steps, particularly the timing of peritoneal closure, may improve operative efficiency.
Objective: to evaluate the feasibility, safety, and time-saving efficacy of pre-fixation lateral peritoneal closure in laparoscopic sacrohysteropexy.
Materials and Methods: a comparative cross-sectional study was conducted on 56 women with POP-Q stage ≥ II who underwent laparoscopic sacrohysteropexy at Hue Central Hospital (Vietnam) between October 2023 and April 2025. Patients were assigned to two groups: Group A (n=30) underwent pre-fixation lateral peritoneal closure, and Group B (n=26) underwent the conventional post-fixation closure. Operative time, success rate, complications, and early postoperative outcomes were analyzed.
Results: group A had a significantly shorter operative time than Group B (77.5 ± 18.6 vs. 115.4 ± 23.7 minutes, p < 0.001). The overall success rate of mesh fixation to the sacral promontory was 93.3%, with four failures due to anatomical obstruction by dilated external iliac veins. No intraoperative complications or organ injuries were recorded. At 1-month follow-up, 87.5% of patients were asymptomatic, while 7.1% reported mild pelvic discomfort and 5.4% had mild prolapse recurrence (POP-Q I).
Conclusion: pre-fixation peritoneal closure is a safe and feasible modification that significantly reduces operative time in laparoscopic sacrohysteropexy. This simple technique may enhance surgical ergonomics without increasing complications, supporting its adoption in clinical practice.
| Published | 2026-09-28 | |
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| Issue | Vol. 16 No. 5 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.5.765 | |
| Keywords | laparoscopic sacrohysteropexy, peritoneal closure, operative time, uterine prolapse, pelvic surgery, surgical innovation phẫu thuật nội soi treo tử cung vào mỏm nhô, phủ phúc mạc, sa tạng chậu, thời gian phẫu thuật |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
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