A comparative study in learning curves of laparoscopic lateral suspension vs. laparoscopic sacrocolpopexy: preliminary results

• DOI: 10.3389/fsurg.2023.1274178
• Publication Date: 2023-12-06T08:19:29Z
• Authors: Ewelina Malanowsk...; Yana Osnytska; Andrzej Starczewski; Matteo Balzarro; Emanuele Rubilotta
• Keywords: Urogynecology; Learning curve

Determination of the learning curve new techniques is essential to improve safety and efficiency. Limited information available regarding curves different in laparoscopic pelvic floor surgery.The aim this study was compare two operative techniques, lateral suspension (LLS) sacrocolpopexy (LSC).We conducted a prospective assess LLS LSC by implementing structured urogynecologic surgical training program with use trainers for our urogynecology fellow. The fellow an experienced surgeon, but suturing dissection naive at beginning study. She required assist 20 surgeries undertake knot tying mesh positioning on trainer 4 h/week during trial period. After completion program, performed under supervision subspecialist as primary surgeon. Linear regression analysis used data curves. Subjective pre- post-operative evaluation organ prolapse (POP) disorders undertaken preoperatively 12 months postoperatively using PFDI-20-Quality Life validated questionnaire. Follow-up scheduled after surgery skilled urogynecologist. Objective cure defined Pelvic Organ Prolapse-Qualification (POP-Q) stage <II any compartment.The mean times were 168.26 160.33 min, respectively. According linear 43 procedures, shorter than (OPTime 134.69 min). In both groups, there significant reduction bothersome POP symptoms (p ≤ 0.005). Bladder injuries cases lumbar pain one case recorded Overall objective success 90.7% 89.1% LLS.Laparoscopic could be alternative treatment its good subjective outcomes. Lateral has curve, it technically less demanding LSC. Procedure-dedicated can accelerate move from novice master