{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T03:05:22Z","timestamp":1778123122611,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the safety and efficacy of a \u201csimplified<jats:italic>\u201d<\/jats:italic> laparoscopic sacropexy\u00a0approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were retrospectively assessed from women with apical prolapse of stage 2 or higher who underwent \u201csimplified\u201d laparoscopic sacropexy between October 1, 2010, and May 31, 2017 at the St Anna Hospital, City of Health and Science, Torino, Italy. Patients were treated with the \u201csimplified\u201d laparoscopic sacropexy, where meshes were anchored solely to the vaginal apex, even in the presence of advanced multi\u2010compartment vaginal prolapse. Data on prolapse stage and urogenital functions collected through clinical examinations, and questionnaires at baseline, 6\u00a0months, 12\u00a0months, and annually thereafter were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 121 women were included in the analysis; the mean follow\u2010up was 33.2\u00a0months. Mean operative time was 135.1\u00a0minutes; there were no intraoperative visceral or vascular injuries. There was 1 (0.8%) patient who experienced recurrence, and 2 (1.7%) who experienced vaginal erosion. Both urogenital symptom scores (all <jats:italic>P<\/jats:italic>&lt;0.05) and quality of life scores (all <jats:italic>P<\/jats:italic>&lt;0.05) improved significantly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adequate re\u2010suspension of only the apex was sufficient to correct other vaginal compartments, even for women with preoperative multi\u2010compartment prolapse higher than <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\u2010Q stage 2. The \u201csimplified\u201d laparoscopic sacropexy was an efficacious intraoperative time\u2010saving technique; it could reduce adverse events caused by deep vaginal dissection up to puborectal muscles and the bladder trigone.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12632","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T06:34:37Z","timestamp":1533623677000},"page":"239-245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Simplified laparoscopic sacropexy avoiding deep vaginal\u00a0dissection"],"prefix":"10.1002","volume":"143","author":[{"given":"Stefano","family":"Cosma","sequence":"first","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Petruzzelli","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michela","family":"Chiad\u00f2 Fiorio Tin","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Parisi","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Olearo","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Fassio","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Zizzo","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saverio","family":"Danese","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Benedetto","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department of Surgical Sciences City of Health and Science University of Torino  Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(05)80396-7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(01)80017-3"},{"key":"e_1_2_7_4_1","first-page":"115","article-title":"Laparoscopic sacrocolpopexy, hysterectomy, and Burch colposuspension: Feasibility and short\u2010term complications of 77 procedures","volume":"6","author":"Cosson M","year":"2002","journal-title":"JSLS"},{"key":"e_1_2_7_5_1","first-page":"505","article-title":"Laparoscopic sacrocolpopexy for vaginal vault prolapse: Personal experience","volume":"114","author":"Drent D","year":"2001","journal-title":"N Z Med J"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2551-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000570"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2379-9"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.07.054"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2077-z"},{"key":"e_1_2_7_12_1","unstructured":"MassiG BrizziE.Anatomia chirurgica ginecologica. Concepta Angelini;1992."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.025"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-003-1063-2"},{"key":"e_1_2_7_15_1","volume-title":"Surgical Repair of Vaginal Defects","author":"Baden WF","year":"1992"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2880-9"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23106"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0628-5"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.01.004"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-016-0638-7"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.06.013"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.043"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa054208"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.08.031"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2641-9"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.08.014"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0657-0"},{"key":"e_1_2_7_28_1","first-page":"101","article-title":"Outcome of laparoscopic sacrocolpopexy with anterior and posterior mesh","volume":"13","author":"Xiromeritis P","year":"2009","journal-title":"Hippokratia"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.12.008"},{"key":"e_1_2_7_30_1","first-page":"151","article-title":"Laparoscopic sacrocolpopexy","volume":"3","author":"Manodoro S","year":"2011","journal-title":"Facts Views Vis Obgyn"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2011.02857.x"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.01.022"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.08.002"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-011-0748-2"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.12.089"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12632","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12632","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T12:31:41Z","timestamp":1694867501000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,24]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1002\/ijgo.12632"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12632","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,24]]},"assertion":[{"value":"2018-01-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}