Giuseppe Campagna1, Giovanni Panico2, Andrea Morciano3, Lorenzo Vacca4, Luigi Pedone Anchora5, Valeria Gallucci6, Mauro Cervigni7, Alfredo Ercoli8, Giovanni Scambia9. 1. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: giuseppe.campagna@policlinicogemelli.it. 2. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: giovanni.panico@policlinicogemelli.it. 3. Department of Obstetrics and Gynaecology, Pia Fondazione "Cardinale G. Panico", Tricase, Italy. Electronic address: drmorciano@gmail.com. 4. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: lorenzo.vacca01@icatt.it. 5. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: luigi.pedoneanchora01@icatt.it. 6. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: valeria.gallucci@policlinicogemelli.it. 7. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: mauro.cervigni@policlinicogemelli.it. 8. Department of Obstetrics and Gynecology, University of Eastern Piedmont, Novara, Italy. Electronic address: alfredo.ercoli@med.uniupo.it. 9. Department of Woman and Child Health, Women Health Area Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: giovanni.scambia@policlinicogemelli.it.
Abstract
OBJECTIVE: The aim of the study was to report our preliminary experience of supracervical 2 hysterectomy followed by sacral colpopexy performed with the Percuvance ™ PSS in terms of feasibility, effectiveness and safety. STUDY DESIGN: Between Jan 2017 and Feb 2017 10 patients affected by POP were enrolled in the present study. All patients undergoing supracervical hysterectomy followed by sacral colpo-cervicopexy with the Percuvance ™ PSS. RESULTS: The reported series consisted of 10 patients undergoing supracervical hysterectomy followed by sacral colpopexy with a median age of 63 years (range 55-71 years) and a median BMI (body mass index) of 24 (range 21-26). A median operative time of 123 min (range 103-134 min) and a median estimated blood loss (EBL) of 40 ml (range 20-60 ml) were registered. No conversions to standard laparoscopy or laparotomy were required and no intraoperative complications occurred. At the discharge all patients were completely satisfied with the cosmetic result and postoperative pain control. During 3 months urogynecological follow-up no patient showed surgical anatomic failure (>2 POP-Q stage)and the degree of overall satisfaction of the cosmetic results was confirmed by the surgeon and the patient equally. CONCLUSIONS: The PSS supracervical hysterectomy plus sacral colpopexy is a feasible and effective approach with good results in terms of operative time, cosmesis, postoperative pain and length of hospitalization.
OBJECTIVE: The aim of the study was to report our preliminary experience of supracervical 2 hysterectomy followed by sacral colpopexy performed with the Percuvance ™ PSS in terms of feasibility, effectiveness and safety. STUDY DESIGN: Between Jan 2017 and Feb 2017 10 patients affected by POP were enrolled in the present study. All patients undergoing supracervical hysterectomy followed by sacral colpo-cervicopexy with the Percuvance ™ PSS. RESULTS: The reported series consisted of 10 patients undergoing supracervical hysterectomy followed by sacral colpopexy with a median age of 63 years (range 55-71 years) and a median BMI (body mass index) of 24 (range 21-26). A median operative time of 123 min (range 103-134 min) and a median estimated blood loss (EBL) of 40 ml (range 20-60 ml) were registered. No conversions to standard laparoscopy or laparotomy were required and no intraoperative complications occurred. At the discharge all patients were completely satisfied with the cosmetic result and postoperative pain control. During 3 months urogynecological follow-up no patient showed surgical anatomic failure (>2 POP-Q stage)and the degree of overall satisfaction of the cosmetic results was confirmed by the surgeon and the patient equally. CONCLUSIONS: The PSS supracervical hysterectomy plus sacral colpopexy is a feasible and effective approach with good results in terms of operative time, cosmesis, postoperative pain and length of hospitalization.
Authors: Giuseppe Campagna; Luigi Pedone Anchora; Giovanni Panico; Daniela Caramazza; Martina Arcieri; Mauro Cervigni; Giovanni Scambia; Alfredo Ercoli Journal: Int Urogynecol J Date: 2019-12-05 Impact factor: 2.894
Authors: Giuseppe Campagna; Lorenzo Vacca; Giovanni Panico; Giuseppe Vizzielli; Daniela Caramazza; Riccardo Zaccoletti; Monia Marturano; Roberta Granese; Martina Arcieri; Stefano Cianci; Giovanni Scambia; Alfredo Ercoli Journal: Front Med (Lausanne) Date: 2022-03-04