PDF(Pubmed)
Abstract：
OBJECTIVE: Lateral suspension is an abdominal prosthetic surgical procedure used to correct apical prolapse. The procedure involves the placement of a T-shaped mesh on the anterior vaginal wall and on the isthmus or uterine cervix that is suspended laterally and posteriorly to the abdominal wall. Since its description in the late 90s, modifications of the technique have been described. So far, no consensus on the correct indications, safety, advantages, and disadvantages of this emerging procedure has been reached.
METHODS: A modified Delphi process was used to build consensus within a group of 21 international surgeons who are experts in the performance of laparoscopic lateral suspension (LLS). The process was held with a first online round, where the experts expressed their level of agreement on 64 statements on indications, technical features, and other aspects of LLS. A subsequent re-discussion of statements where a threshold of agreement was not reached was held in presence.
RESULTS: The Delphi process allowed the identification of several aspects of LLS that represented areas of agreement by the experts. The experts agreed that LLS is a safe and effective technique to correct apical and anterior prolapse. The experts highlighted several key technical aspects of the procedure, including clinical indications and surgical steps.
CONCLUSIONS: This Delphi consensus provides valuable guidance and criteria for the use of LLS in the treatment of pelvic organ prolapse, based on expert opinion by large volume surgeons\' experts in the performance of this innovative procedure.
METHODS: A modified Delphi process was used to build consensus within a group of 21 international surgeons who are experts in the performance of laparoscopic lateral suspension (LLS). The process was held with a first online round, where the experts expressed their level of agreement on 64 statements on indications, technical features, and other aspects of LLS. A subsequent re-discussion of statements where a threshold of agreement was not reached was held in presence.
RESULTS: The Delphi process allowed the identification of several aspects of LLS that represented areas of agreement by the experts. The experts agreed that LLS is a safe and effective technique to correct apical and anterior prolapse. The experts highlighted several key technical aspects of the procedure, including clinical indications and surgical steps.
CONCLUSIONS: This Delphi consensus provides valuable guidance and criteria for the use of LLS in the treatment of pelvic organ prolapse, based on expert opinion by large volume surgeons\' experts in the performance of this innovative procedure.
摘要：
目的：侧向悬吊术是一种用于矫正根尖脱垂的腹部假体外科手术。该过程涉及在阴道前壁和峡部或子宫颈上放置T形网状物，该网状物横向并向后悬挂在腹壁上。自从它在90年代末描述以来，已经描述了该技术的修改。到目前为止,对正确的适应症没有共识，安全,优势,并且已经达到了这种新兴程序的缺点。
方法：采用改良的Delphi方法在21名国际外科医生中达成共识，他们是腹腔镜侧向悬吊术（LLS）的专家。这个过程是在第一轮网上进行的，专家们对64项适应症声明表示同意，技术特点,以及LLS的其他方面。随后对未达成协议门槛的声明进行了重新讨论。
结果：Delphi过程允许识别LLS的几个方面，这些方面代表了专家们的共识。专家们一致认为，LLS是纠正根尖和前脱垂的安全有效技术。专家们强调了该程序的几个关键技术方面，包括临床适应症和手术步骤。
结论：本德尔菲共识为使用LLS治疗盆腔器官脱垂提供了有价值的指导和标准，根据大量外科医生的专家意见，专家对这一创新程序的表现。
方法：采用改良的Delphi方法在21名国际外科医生中达成共识，他们是腹腔镜侧向悬吊术（LLS）的专家。这个过程是在第一轮网上进行的，专家们对64项适应症声明表示同意，技术特点,以及LLS的其他方面。随后对未达成协议门槛的声明进行了重新讨论。
结果：Delphi过程允许识别LLS的几个方面，这些方面代表了专家们的共识。专家们一致认为，LLS是纠正根尖和前脱垂的安全有效技术。专家们强调了该程序的几个关键技术方面，包括临床适应症和手术步骤。
结论：本德尔菲共识为使用LLS治疗盆腔器官脱垂提供了有价值的指导和标准，根据大量外科医生的专家意见，专家对这一创新程序的表现。
