The following is a summary of “Pregnancy after laparoscopic hysteropexy: Is there a prolapse recurrence?,” published in the November 2023 issue of Obstetrics and Gynecology by Futcher, et al.
When it comes to women who have pelvic organ prolapse and wish to maintain their fertility, the surgical method of choice is laparoscopic hysteropexy. As a result of the fact that it is generally accepted that women should finish their family projects before undergoing laparoscopic prolapse surgery, there are a very small number of situations in which women become pregnant after undergoing this technique.
Two polypropylene meshes were used throughout the surgical operation. One of the meshes was positioned anteriorly, while the second mesh was positioned posteriorly. Both meshes were positioned in the same direction. These meshes were attached to the cervix, and the cervix served as the connecting point between them. Because they do not round the cervix, there was no compression on the uterine arteries and no concern about the flow of blood to the uterus. This is because they do not surround the cervix.
The individual in question was diagnosed with gestational diabetes, and in addition, she was carrying an enormous baby who was in the breech position. It was decided that a cesarean section would be performed on the newborns because of their weight and the geographical location of the babies. A healthy baby was delivered to the lady, and ten months after the procedure, the patient did not have any recurrence of pelvic organ prolapse; thus, the newborn was healthy.
Source: sciencedirect.com/science/article/abs/pii/S2468784723001289
