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Full length article| Volume 242, P33-35, November 2019

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A laparoscopic procedure for the treatment of uterine prolapse during pregnancy: A case series

Published:September 06, 2019DOI:https://doi.org/10.1016/j.ejogrb.2019.09.002

      Abstract

      Objective

      To demonstrate the outcomes of pregnancies with uterine prolapse who have undergone laparoscopic suspension via a new approach during the first and second trimesters.

      Design

      Retrospective case series study.

      Patients

      Three patients who had undergone surgical procedures for uterine prolapse during pregnancy.

      Interventions

      Laparoscopic treatment of uterine prolapse involves a procedure called ‘vaginal assisted laparoscopic sacrocervicopexy’. The complications and difficulties of each case are described.

      Results

      The patients underwent surgical procedures at 12, 14 and 16 weeks of pregnancy. All cases were delivered at term. As the gestational age increased, the operation became more difficult and the operation time was prolonged. The patient who delivered vaginally was complicated with shoulder dystocia.

      Conclusion

      Three successful cases of uterine prolapse surgery during pregnancy are reported. Surgery can be performed during pregnancy if absolutely necessary, and does not need to be delayed until the postpartum period.

      Keywords

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      References

        • Keettel W.C.
        Prolapse of the uterus during pregnancy.
        Am J Obstet Gynecol. 1941; 42: 121-126
        • Daskalakis G.
        • Lymberopoulos E.
        • Anastasakis E.
        • et al.
        Uterine prolapse complicating pregnancy.
        Arch Gynecol Obstet. 2007; 276: 391-392
        • Nygaard I.
        • Barber M.D.
        • Burgio K.L.
        • et al.
        Prevalence of symptomatic pelvic floor disorders in US women.
        JAMA. 2008; 300: 1311-1316
        • Olsen A.L.
        • Smith V.J.
        • Bergstrom J.O.
        • Colling J.C.
        • Clark A.L.
        Epidemiology of surgically managed pelvic-organ prolapse and urinary incontinence.
        Obstet Gynecol. 1997; 89: 501-506
        • Giri A.
        • Hartmann K.E.
        • Hellwege J.N.
        • Edwards D.R.V.
        • Edwards T.L.
        Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies.
        Am J Obstet Gynecol. 2017; 217 (e13): 11-26
        • Yogev Y.
        • Horowitz E.
        • Ben-Haroush A.
        • Kaplan B.
        Uterine cervical elongation and prolapse during pregnancy: an old unsolved problem.
        2003
        • Horowitz E.
        • Yogev Y.
        • Hod M.
        • Kaplan B.
        Prolapse and elongation of the cervix during pregnancy.
        Int J Gynecol Obstet. 2002; 77: 147-148
        • Tsikouras P.
        • Dafopoulos A.
        • Vrachnis N.
        • et al.
        Uterine prolapse in pregnancy: risk factors, complications and management.
        J Matern Fet Neonat Med. 2014; 27: 297-302
        • Jha S.
        • Sanderson P.
        A review of pelvic organ prolapse during pregnancy.
        Curr Women Health Rev. 2014; 10: 26-32
        • Sze E.H.
        • Sherard I.I.I.G.B.
        • Dolezal J.M.
        Pregnancy, labor, delivery, and pelvic organ prolapse.
        Obstet Gynecol. 2002; 100: 981-986
        • Hill P.
        Uterine prolapse complicating pregnancy. A case report.
        J Reprod Med. 1984; 29: 631-633
        • Zeng C.
        • Yang F.
        • Wu C.
        • et al.
        Uterine prolapse in pregnancy: two case report and literature review.
        Case Rep Obstet Gynecol. 2018; 2018 (Article ID 1805153): 5https://doi.org/10.1155/2018/1805153
        • Pirtea L.
        • Balint O.
        • Secosan C.
        • Ilina R.
        • Grigoras D.
        Laparoscopic promontohysteropexy during pregnancy.
        J Minim Invasive Gynecol. 2017; 24: 1073-1074
        • Peker B.H.
        • Ilter E.
        • Peker H.
        • Celik A.
        • Gursoy A.
        • Gunaldi O.
        Laparoscopic sacrohysteropexy in a woman at 12 weeks’ gestation.
        J Minim Invasive Gynecol. 2018; 25: 1146-1147
        • Mishra M.
        • Sinha P.
        Cervical prolapse in pregnancy and varied outcomes – a report of three cases.
        J Obstet Gynaecol. 2015; 35: 644-646
        • Tabaquero M.
        Pelvic organ prolapse in pregnancy.
        Obstet Gynecol Int J. 2017; 800284
        • Ozel B.
        Incarceration of a retroflexed, gravid uterus from severe uterine prolapse: a case report.
        J Reprod Med. 2005; 50: 624-626
        • Cavkaytar S.
        • Kokanalı M.K.
        • Tasdemir U.
        • Doganay M.
        • Aksakal O.
        Pregnancy outcomes after transvaginal sacrospinous hysteropexy.
        Eur J Obstet Gynecol Reprod Biol. 2017; 216: 204-207