Day Case Laparoscopic Sacrocolpopexy, a New Management

Study Overview
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Brief Summary
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Facing the stakes of hospital beds, this study assessed day case variant technic of laparoscopic sacrocolpopexy with or without robotic assistant.

Detailed Description
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Pelvic organ prolapse (POP) is an increasingly common functional disorder which affects approximately 40% of female population. Of these 12% are symptomatic and suffer of physical and emotional distress. 11% will undergo a surgical procedure. Since its introduction by Lane in 1982, Sacrocolpopexy (SCP) became the surgical gold standard for correcting vaginal vault . With minimal invasive approach, SCP had an mean hospitalization time of 3 to 7 days . With rising health care cost and its inherent economic burden, safe and viable options to reduce cost must be sought. Day case surgery has developed rapidly in the USA since the 1970s, and has spread to Europe, especially in Great Britain. But the High Authority of Health in France found a delay in its development. In view of the evolution of surgical and anesthetic techniques, and the low complication rate of SCP, it seemed natural to imagine that this intervention could be done in an ambulatory setting.

Official Title
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Day-case Laparoscopic Sacrocolpopexy, a Compelling Option in Selected Patients

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Procedure: Cohort


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with symptomatic anterior, apical and/or posterior compartment prolapse Patients with stage 2 or greater, according to the POP-Q classification Patients with a body mass index (BMI) < 30 Patients with an American Society of Anesthesiologist (ASA) score < ou = 3. Exclusion Criteria: Patient with prior history of pelvic cancer surgery and radiotherapy of the pelvis

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Cohort|Patients undergoing ambulatory laparoscopic sacrocolpopexy|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The success rate of outpatient laparoscopic sacrocolpopexy | The success rate of outpatient sacrocolpopexy is defined by the number of patients who leaves hospital at the day of surgery | 1 month post-operative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-operative adverses events | Adverses events are readmission, hospitalization at another medical hospitalization, complication and if patient has consulted her primary care practitioner or in the emergency department | 1 month post-operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sacrocolpopexy, Laparoscopic, Day case surgery