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Obstet Gynecol Clin North Am. 2009 Sep;36(3):585-614. doi: 10.1016/j.ogc.2009.09.004.

Abdominal, laparoscopic, and robotic surgery for pelvic organ prolapse.

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  • 1Female Pelvic Medicine and Reconstructive Surgery, Indiana University/Methodist Hospital, Urogynecology Associates, Indianapolis, IN 46202, USA.

Abstract

Abdominal correction of pelvic organ prolapse remains a viable option for patients and surgeons. The transition from open procedures to less invasive laparoscopic and robotic-assisted surgeries is evident in the literature. This article reviews the surgical options available for pelvic organ prolapse repair and their reported outcomes. Procedures reviewed include apical support (sacral, uterosacral, and others), and abdominal anterior and posterior vaginal wall support. Long-term follow-up and appropriately designed studies will further help direct surgeons in deciding which approach to incorporate into their practice.

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