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Obstetrics and Gynecology International
Volume 2013 (2013), Article ID 528636, 7 pages
Clinical Study

A Comparison of Complications between Open Abdominal Sacrocolpopexy and Laparoscopic Sacrocolpopexy for the Treatment of Vault Prolapse

1Department of Gynaecology and Obstetrics, Máxima Medical Centre, De Run 4600, 5500 MB Veldhoven, The Netherlands
2Department of Gynaecology and Obstetrics, Isala Klinieken, Dokter van Heesweg 2, 8025 AB Zwolle, The Netherlands
3Department of Gynaecology and Obstetrics, Zorggroep Twente, Zilvermeeuw 1, 7609 PP Almelo, The Netherlands
4Department of Epidemiology, CAPHRI Research School, Maastricht University, Minderbroedersberg 4-6, 6211 LK Maastrich, The Netherlands
5Department of Gynaecology and Obstetrics, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands

Received 25 February 2013; Revised 14 August 2013; Accepted 28 August 2013

Academic Editor: Stephen Jeffery

Copyright © 2013 Anne-Lotte W. M. Coolen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Sacrocolpopexy is a generally applied treatment for vault prolapse which can be performed laparoscopically or by open laparotomy. Methods. Between October 2007 and December 2012, we performed a multicenter prospective cohort study in 2 university and 4 teaching hospitals in the Netherlands. We included patients with symptomatic posthysterectomy vaginal vault prolapse requiring surgical treatment, who either had abdominal or laparoscopic sacrocolpopexy. We studied surgery related morbidity, which was divided in pre-, peri-, and postoperative characteristics. Results. We studied 85 patients, of whom 42 had open abdominal and 43 laparoscopic sacrocolpopexy. In the laparoscopic sacrocolpopexy group, estimated blood loss was significantly less compared to the abdominal group: 192 mL (±126) versus 77 mL (±182), respectively ( ). Furthermore, hospital stay was significantly shorter in the laparoscopic group (4.2 days) as compared to the abdominal group (2.4 days) ( ). The overall complication rate was not significantly different ( ). However there was a significant difference in favor of the laparoscopic group in peri- and postoperative complications requiring complementary (conservative) treatment and/or extended admittance (RR 0.24 (95%-CI 0.07–0.80), ). Conclusion. Laparoscopic sacrocolpopexy reduces blood loss and hospital stay as compared to abdominal sacrocolpopexy and generates less procedure related morbidity.