Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2023; 11(15): 3457-3463
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3457
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3457
New native tissue repair for pelvic organ prolapse: Medium-term outcomes of laparoscopic vaginal stump–round ligament fixation
Toshiyuki Kakinuma, Ayaka Kaneko, Kaoru Kakinuma, Ken Imai, Nobuhiro Takeshima, Michitaka Ohwada, Department of Obstetrics and Gynecology, International University of Health and Welfare, Nasushiobara 329-2763, Japan
Author contributions: Kakinuma T contributed to methodology, software, validation, formal analysis, writing-original draft preparation, writing-review and editing, visualization, supervision, and project administration; Kakinuma T, Kakinuma K, Kaneko A, Imai K, Takeshima N, and Ohwada M collected data and performed the research; All authors contributed to investigation, resources, data curation, and read and agreed to the published version.
Institutional review board statement: The study was approved by the Ethics Committee of the International University of Health and Welfare Hospital, No. 21-B-463.
Informed consent statement: All patients provided written and oral informed consent for the procedure and study participation after a proper explanation of the risks and benefits of the surgical procedure.
Conflict-of-interest statement: All authors report having no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this article and its supplementary material files. Further inquiries can be directed to the corresponding author at tokakinuma@gmail.com .
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Toshiyuki Kakinuma, MD, PhD, Doctor, Professor, Department of Obstetrics and Gynecology, International University of Health and Welfare, 537-3, Iguchi, Nasushiobara 329-2763, Japan. tokakinuma@gmail.com
Received: January 9, 2023
Peer-review started: January 9, 2023
First decision: February 2, 2023
Revised: March 2, 2023
Accepted: April 14, 2023
Article in press: April 14, 2023
Published online: May 26, 2023
Peer-review started: January 9, 2023
First decision: February 2, 2023
Revised: March 2, 2023
Accepted: April 14, 2023
Article in press: April 14, 2023
Published online: May 26, 2023
Core Tip
Core Tip: The conventional method of performing repairs using patients’ own tissues [also called native tissue repair (NTR)] instead of using mesh is being reconsidered. NTR surgical techniques include vaginal stump–uterosacral ligament fixation (Shull method), which has reported satisfactory surgical outcomes. Many patients with severe pelvic organ prolapse have long vaginal canals and overstretched sacral uterine ligaments, which prevent effective repair using the Shull method. The Kakinuma method (laparoscopic vaginal stump–round ligament fixation) lifts the vaginal stump to an anatomically higher position. This method is an effective treatment method for pelvic organ prolapse, similar to conventional NTR.