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Int Urogynecol J. 2013 Mar;24(3):377-84. doi: 10.1007/s00192-012-1885-x. Epub 2012 Aug 3.

A randomised controlled trial of abdominal versus laparoscopic sacrocolpopexy for the treatment of post-hysterectomy vaginal vault prolapse: LAS study.

Author information

1
Urogynaecology Unit, Directorate of Women's Health, Derriford Hospital, Plymouth PL6 8DH, UK. robert.freeman@nhs.net

Abstract

INTRODUCTION AND HYPOTHESIS:

This prospective multi-centre true two-sided equivalence trial was designed to test the clinical equivalence of open (ASCP) and laparoscopic (LSCP) sacrocolpopexy using objective and subjective outcomes

METHODS:

The study was carried out in three urogynaecology units in England, UK and the patient population consisted of women referred with symptomatic and bothersome post-hysterectomy vaginal vault prolapse at least 1 cm above or beyond the hymeneal remnants. The interventions were either abdominal or laparoscopic sacrocolpopexy following randomisation to one of the types of surgery.

RESULTS:

For the primary outcome (point C on the POP-Q) the results at 1 year were -6.63 cm for the open ASCP and -6.67 cm for the LSCP respectively. Subjective outcomes at 1 year showed that 90% of the ASCP group and 80% of the LSCP group were "much better". There were improvements with regard to blood loss, haemoglobin and shorter length of stay in the LSCP group compared with the ASCP group.

CONCLUSION:

This fully powered randomised controlled trial comparing open and laparoscopic sacrocolpopexy has shown clinical equivalence.

PMID:
22864764
DOI:
10.1007/s00192-012-1885-x
[Indexed for MEDLINE]

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