{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:01:40Z","timestamp":1789970500852,"version":"4.0.1"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This retrospective comparative cohort study aimed to evaluate an improved transvaginal extraperitoneal single-port lateral suspension procedure for the treatment of anterior compartment prolapse and paravaginal defects while preserving the advantages of minimally invasive surgery and maintaining abdominal wall esthetics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective comparative cohort study was performed on 43 cases treated in our hospital. Twelve patients who underwent the improved lateral suspension procedure were included in the improved group, whereas 31 patients who underwent traditional lateral suspension served as the control group. Patients in each group underwent their respective surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No patient in either group experienced accidental vascular injury or hemorrhage. In the improved group, two procedures were unsuccessful due to inadvertent peritoneal puncture and entry into the abdominal cavity, and these peritoneal defects were repaired using transvaginal natural orifice transluminal endoscopic surgery (vNOTES). No other intraoperative or postoperative complications were observed. There were no statistically significant differences between the two groups regarding operative time, length of hospital stay, or estimated blood loss. Both groups showed significant postoperative improvements in POP-Q, PFDI-20, and PFIQ-7 scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on these preliminary results, this modified procedure appears to be feasible, safe, and effective for gynecologists experienced in vNOTES and pelvic organ prolapse surgery. However, its efficacy and safety require further validation through larger prospective studies with longer follow-up periods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1877022","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:36:43Z","timestamp":1789969003000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A modified minimally invasive technique for pelvic organ prolapse: transvaginal extraperitoneal single-port lateral suspension"],"prefix":"10.3389","volume":"13","author":[{"given":"Chengling","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Gynecology, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huisheng","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"He","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"975829","DOI":"10.3389\/fpubh.2022.975829","article-title":"Global burden and trends of pelvic organ prolapse associated with aging women: an observational trend study from 1990 to 2019","volume":"10","author":"Wang","year":"2022","journal-title":"Front Public Health"},{"key":"B2","doi-asserted-by":"publisher","first-page":"i3853","DOI":"10.1136\/bmj.i3853","article-title":"Pelvic organ prolapse","volume":"354","author":"Barber","year":"2016","journal-title":"Br Med J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"3122","DOI":"10.1016\/j.mayocp.2021.09.005","article-title":"Evaluation and management of pelvic organ prolapse","volume":"96","author":"Raju","year":"2021","journal-title":"Mayo Clin 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Biol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1001\/jamasurg.2024.1206","article-title":"Apical suspension repair for vaginal vault prolapse: a randomized clinical trial","volume":"159","author":"Menefee","year":"2024","journal-title":"JAMA Surg"}],"container-title":["Frontiers in 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