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Pregnancy outcomes after laparoscopic pectopexy surgery: A case series
Author(s) -
Bagli Ihsan,
Tahaoglu Ali E.
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14337
Subject(s) - medicine , pregnancy , caesarean section , retrospective cohort study , obstetrics , laparoscopic surgery , fertility , cohort , live birth , patient satisfaction , laparoscopy , cesarean delivery , surgery , population , genetics , environmental health , biology
Aim We aimed to present the outcomes of five pregnant women who had laparoscopic pectopexy in their past. Methods In this retrospective cohort study, we reviewed all female patients who underwent modified laparoscopic pectopexy between 2016 and 2018 at our hospital. Polypropylene monofilament mesh was used for the pectopexy procedure in 36 cases of women suffering from apical pelvic organ prolapse (POP). Five women were pregnant at different dates after the surgery; we included them in the study ( n = 5). We collected data including age, gravidity, parity, magnetic resonance image, sonographic image, POP – Quantification scores, neonatal results from the hospital database. Results After uneventful examinations during pregnancy, four women delivered via caesarean section; one of them got pregnant again and delivered successfully. We did not see relapse in apical prolapse or other compartments 3, 6 and 12 months after delivery. All women gave high satisfaction scores regarding POP at 12 months after delivery. Conclusion Laparoscopic pectopexy is an effective and alternative procedure for women with POP and a good option for preserving fertility. We found that pregnancy did not adversely affect the short‐term success of laparoscopic pectopexy, and vice versa.