Role of lateral suspension for the treatment of pelvic organ prolapse: a Delphi survey of expert panel
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| Titel: | Role of lateral suspension for the treatment of pelvic organ prolapse: a Delphi survey of expert panel |
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| Autoren: | Simoncini, Tommaso, Panattoni, Andrea, Cadenbach-Blome, Tina, Caiazzo, Nicola, García, Maribel Calero, Caretto, Marta, Chun, Fu, Francescangeli, Eric, Gaia, Giorgia, Giannini, Andrea, Hegenscheid, Lucas, Luisi, Stefano, Mannella, Paolo, Mereu, Liliana, Montt-Guevara, Maria Magdalena, Ñiguez, Isabel, Ritter, Ratiba, Russo, Eleonora, Ferrer, Maria Luisa Sanchez, Tammaa, Ayman, Uhl, Bernhard, Wiedemann, Bea, Wilczak, Maciej, Pauli, Friedrich, Dubuisson, Jean |
| Quelle: | Surg Endosc |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | ddc:610, Gynecologic Surgical Procedures, Consensus, Delphi Technique, Delphi consensus, Laparoscopic lateral suspension, Pelvic floor reconstructive surgery, Pelvic organ prolapse, Sacrocolpopexy, Humans, Female, Laparoscopy, Abdominal Wall/surgery [MeSH], Female [MeSH], Laparoscopy/methods [MeSH], Vagina/surgery [MeSH], Humans [MeSH], Laparoscopy/standards [MeSH], Pelvic Organ Prolapse/surgery [MeSH], Cervix Uteri/surgery [MeSH], Gynecologic Surgical Procedures/standards [MeSH], Surgical Mesh [MeSH], Article, Gynecologic Surgical Procedures/methods [MeSH], Delphi Technique [MeSH], Prosthesis Implantation/standards [MeSH], Prosthesis Implantation/methods [MeSH], Consensus [MeSH], Surgical Mesh, Pelvic Organ Prolapse, 3. Good health |
| Beschreibung: | Introduction and hypothesis Lateral suspension is an abdominal prosthetic surgical procedure used to correct apical prolapse. The procedure involves the placement of a T-shaped mesh on the anterior vaginal wall and on the isthmus or uterine cervix that is suspended laterally and posteriorly to the abdominal wall. Since its description in the late 90s, modifications of the technique have been described. So far, no consensus on the correct indications, safety, advantages, and disadvantages of this emerging procedure has been reached. Methods A modified Delphi process was used to build consensus within a group of 21 international surgeons who are experts in the performance of laparoscopic lateral suspension (LLS). The process was held with a first online round, where the experts expressed their level of agreement on 64 statements on indications, technical features, and other aspects of LLS. A subsequent re-discussion of statements where a threshold of agreement was not reached was held in presence. Results The Delphi process allowed the identification of several aspects of LLS that represented areas of agreement by the experts. The experts agreed that LLS is a safe and effective technique to correct apical and anterior prolapse. The experts highlighted several key technical aspects of the procedure, including clinical indications and surgical steps. Conclusions This Delphi consensus provides valuable guidance and criteria for the use of LLS in the treatment of pelvic organ prolapse, based on expert opinion by large volume surgeons’ experts in the performance of this innovative procedure. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-024-10917-5 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/38877319 https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-1143089 https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/114308 https://doi.org/10.1007/s00464-024-10917-5 https://opus.bibliothek.uni-augsburg.de/opus4/files/114308/114308.pdf https://repository.publisso.de/resource/frl:6508743 https://hdl.handle.net/20.500.11769/614489 https://doi.org/10.1007/s00464-024-10917-5 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....4e689ee673fc8ecc4b78e399113761c6 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Introduction and hypothesis Lateral suspension is an abdominal prosthetic surgical procedure used to correct apical prolapse. The procedure involves the placement of a T-shaped mesh on the anterior vaginal wall and on the isthmus or uterine cervix that is suspended laterally and posteriorly to the abdominal wall. Since its description in the late 90s, modifications of the technique have been described. So far, no consensus on the correct indications, safety, advantages, and disadvantages of this emerging procedure has been reached. Methods A modified Delphi process was used to build consensus within a group of 21 international surgeons who are experts in the performance of laparoscopic lateral suspension (LLS). The process was held with a first online round, where the experts expressed their level of agreement on 64 statements on indications, technical features, and other aspects of LLS. A subsequent re-discussion of statements where a threshold of agreement was not reached was held in presence. Results The Delphi process allowed the identification of several aspects of LLS that represented areas of agreement by the experts. The experts agreed that LLS is a safe and effective technique to correct apical and anterior prolapse. The experts highlighted several key technical aspects of the procedure, including clinical indications and surgical steps. Conclusions This Delphi consensus provides valuable guidance and criteria for the use of LLS in the treatment of pelvic organ prolapse, based on expert opinion by large volume surgeons’ experts in the performance of this innovative procedure. |
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| ISSN: | 14322218 09302794 |
| DOI: | 10.1007/s00464-024-10917-5 |