{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:45:36Z","timestamp":1780465536328,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T00:00:00Z","timestamp":1576454400000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Uterovaginal prolapse is a prevalent gynaecological issue, which can have a negative impact on the quality of life of women. Hysterectomy and vaginal repair are conventional treatments to address apical prolapse; however, women are increasingly requesting uterine\u2010preserving alternatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to evaluate the impact of laparoscopic mesh sacrohysteropexy on symptomatic prolapse from an Australian experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This retrospective cohort study presents outcomes of 157 patients who underwent laparoscopic mesh sacrohysteropexy at a private practice in South Australia during 2007\u20132017. Primary outcome is the success rate according to the pelvic organ prolapse quantification (POP\u2010Q) system. Secondary measures included complication rates and patients identified as having Stages III\u2010IV prolapse and their outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age was 58\u00a0years (27\u201386\u00a0years), median parity was 2 (0\u20136), and median body mass index was 26.8 (23\u201329.9). One hundred and thirty\u2010four women had a laparoscopic hysteropexy and concurrent vaginal prolapse repair and four women had an isolated laparoscopic hysteropexy. The mean pre\u2010operative point C was 0.60. The mean change from pre\u2010operative point C to post\u2010operative point C was 7.6\u00a0cm (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01). Of the 136 patients (98.6%) seen at post\u2010operative 4\u20136\u00a0weeks, all had Stage 0 POP\u2010Q scores. Prolapse recurrence was observed in 22 patients, while 116 patients remained cured at their last follow\u2010up. Prolapse recurrence was associated with anterior vaginal mesh, previous prolapse surgery, pre\u2010operative Stage III\u2010IV disease and number of vaginal deliveries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic mesh sacrohysteropexy is an effective and safe procedure with a high success rate comparable to available international data.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13104","type":"journal-article","created":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T11:10:48Z","timestamp":1576494648000},"page":"244-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Success rates and outcomes of laparoscopic mesh sacrohysteropexy"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6643-1821","authenticated-orcid":false,"given":"Samuel","family":"Daniels","sequence":"first","affiliation":[{"name":"Department of Gynaecology Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8340-7994","authenticated-orcid":false,"given":"Danielle","family":"Robson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Royal Prince Alfred Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Palacz","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Howell","sequence":"additional","affiliation":[{"name":"Basil Hetzel Institute Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Flinders Medical Centre Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fariba","family":"Behnia\u2010Willison","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Flinders Medical Centre Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7348.1258"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0902-1"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90074-0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119266907"},{"issue":"8","key":"e_1_2_5_6_1","first-page":"679","article-title":"True incidence of vaginal vault prolapse. 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Available from:https:\/\/www.ranzcog.edu.au\/RANZCOG_SITE\/media\/RANZCOG-MEDIA\/Women%27s%20Health\/Statement."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.13104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T02:01:49Z","timestamp":1694052109000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,16]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1111\/ajo.13104"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13104","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,16]]},"assertion":[{"value":"2019-06-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}