A Laparoscopic Conservative Surgery Approach to Puerperium Complicated by Uterine Prolapse After Vaginal Delivery: A Case Series

Marta Seca; Paola Algeri; Laura Colonna; Nunzia Mastrocola; Silvia Von Wunster

doi:10.18502/jfrh.v17i1.11980

Marta Seca Department of Obstetrics and Gynaecology, ASST-Bergamo est, Bolognini Hospital, Seriate, Bergamo, Italy
Paola Algeri University of Milano Bicocca, Monza, Monza e Brianza, Italy
Laura Colonna Department of Obstetrics and Gynaecology, ASST-Bergamo est, Pesenti Fenaroli Hospital, Alzano Lombardo, Bergamo, Italy
Nunzia Mastrocola Department of Obstetrics and Gynaecology, ASST-Bergamo est, Bolognini Hospital, Seriate, Bergamo, Italy
Silvia Von Wunster Department of Obstetrics and Gynaecology, ASST-Bergamo est, Pesenti Fenaroli Hospital, Alzano Lombardo, Bergamo, Italy

DOI: https://doi.org/10.18502/jfrh.v17i1.11980

Keywords: Hysterocele; Vaginal Prolapse; Laparoscopy; Laparoscopic Hysteropexy; Hysterosacropexy

Abstract

Objective: In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele after vaginal delivery.

Case report: We presented a successful case series of three patients with III or IV degrees of hysterocele who were treated conservatively with an uncomplicated laparoscopic hysteropexy within a year of delivery. Given our patients' young ages and the fact that they all have infant children at home, we chose a conservative surgery performed laparoscopically due to the lower surgical impact and quicker return to normal life. All surgical procedures were successfully performed, without complications, with a prompt recovery of all women and with a regular subsequent follow-up, without recurrence nowadays.

Conclusion: For young women who have not terminated their desire to bear children, laparoscopic hysterepexy may be a safe and effective surgical option.