Concurrent pelvic reconstruction and minimally invasive pelvic cancer surgery

• Published in: International Urogynecology Journal Vol. 29; no. 11; pp. 1709 - 1711
• Main Authors: Chung, Christopher P., Dao, NhuChi T., Wakabayashi, Mark T., Dellinger, Thanh H., Lee, Stephen J., Han, Ernest S.
• Format: Journal Article
• Language: English
• Published: London Springer London 01-11-2018; Springer Nature B.V
• Subjects: Aged; Cancer surgery; Combined Modality Therapy; Female; Genital Neoplasms, Female - complications; Genital Neoplasms, Female - surgery; Gynecologic Surgical Procedures - methods; Gynecology; Humans; IUJ Video; Medicine; Medicine & Public Health; Middle Aged; Minimally Invasive Surgical Procedures - methods; Pelvic Floor - surgery; Pelvic Organ Prolapse - complications; Pelvic Organ Prolapse - surgery; Reconstructive Surgical Procedures - methods; Treatment Outcome; Urology; Uterine cancer; Uterine cancer; Surgery; Pelvic organ prolapse
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-018-3751-y

Introduction and hypothesis
We present our experience in performing concurrent prolpase repair at the time of gynecologic cancer surgery.
Methods
The uterosacral ligaments are tagged before performing hysterectomy and pelvic dissection. The uterosacral ligament suspensory sutures are then placed laparoscopically after completion of pelvic cancer surgery. The remainder of the prolapse surgery is performed through a transvaginal approach.
Results
Many of our patients who undergo concurrent prolapse repair and gynecolgical cancer surgery receive chemotherapy and pelivc radiation. Concuurent prolapse repair improves their prolaspe symptoms.
Conclusion
Concurrent prolapse repair should be performed at the same time as gynecologic cancer surgery.