{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:08:44Z","timestamp":1784300924519,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004699","name":"Chung Shan Medical University Hospital","doi-asserted-by":"publisher","award":["CSH\u20102021\u2010C\u2010042"],"award-info":[{"award-number":["CSH\u20102021\u2010C\u2010042"]}],"id":[{"id":"10.13039\/501100004699","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates the safety and efficacy of uterine\u2010preserving laparoscopic pectopexy (LP) and assesses whether anterior mesh extension influences surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighty\u2010four patients with advanced pelvic organ prolapse (POP\u2010Q stage \u22652) were studied. Forty\u2010two patients with advanced uterine and anterior vaginal prolapse underwent an innovative LP using an inverted T\u2010shaped mesh (LP\u2010T). The other 42 patients, with predominant uterine prolapse, received conventional LP using the horizontal DynaMesh (LP\u2010D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Preoperatively, patient characteristics were comparable except for significantly higher stages of uterine and anterior vaginal prolapse in the LP\u2010T group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). Perioperative outcomes were similar, except for significantly greater blood loss, higher pain scores, longer operating time, Foley catheter duration, and hospital stay in the LP\u2010T group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). At 1\u2009year, POP\u2010Q stages and parameters improved significantly after both procedures, with satisfactory rates of anatomic cure (POP\u2010Q stage &lt;2) in the anterior (90.2% vs 92.9%), middle (80.5% vs 83.3%), and posterior (95.1% vs 97.6%) compartments (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05). Recurrent uterine prolapse was the most common site of prolapse recurrence. Both approaches yielded favorable functional outcomes, and overall surgical complication rates were low. Logistic regression identified two significant risk factors for recurrence: levator ani muscle avulsion (odds ratio [OR] 13.47,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002) and chronic constipation (OR 4.58,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our results suggest that both LP procedures are safe and effective. Levator ani avulsion and chronic constipation were found to significantly influence prolapse recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70915","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:14:27Z","timestamp":1773000867000},"page":"968-978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of 1\u2010year outcomes after uterine\u2010preserving laparoscopic pectopexy using an inverted T\u2010shaped mesh versus the horizontal\n                    <scp>DynaMesh<\/scp>\n                    : A retrospective, multicenter cohort study"],"prefix":"10.1002","volume":"174","author":[{"given":"Yi\u2010Ting","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Taichung Veterans General Hospital  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chung Shan Medical University Hospital  Taichung Taiwan"},{"name":"Department of Obstetrics and Gynecology School of Medicine, College of Medicine, Chung Shan Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenn\u2010Jhy","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Taichung Veterans General Hospital  Taichung Taiwan"},{"name":"Department of Nursing College of Nursing, HungKuang University  Taichung Taiwan"},{"name":"Department of Post\u2010Baccalaureate Medicine College of Medicine, National Chung Hsing University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsung\u2010Ho","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chung Shan Medical University Hospital  Taichung Taiwan"},{"name":"Department of Obstetrics and Gynecology School of Medicine, College of Medicine, Chung Shan Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8484-3499","authenticated-orcid":false,"given":"Ching\u2010Pei","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Taichung Veterans General Hospital  Taichung Taiwan"},{"name":"Department of Life Sciences National Chung Hsing University  Taichung Taiwan"},{"name":"Doctoral Program in Translational Medicine National Chung Hsing University  Taichung Taiwan"},{"name":"Rong Hsing Translational Medicine Research Center National Chung Hsing University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man\u2010Jung","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chung Shan Medical University Hospital  Taichung Taiwan"},{"name":"Department of Obstetrics and Gynecology School of Medicine, College of Medicine, Chung Shan Medical University  Taichung 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