PREGNANCY FOLLOWING LAPAROSCOPIC UTERINE VENTROSUSPENSION BY BILATERAL LIGAMENTOPEXY OF THE ROUND LIGAMENTS USING THE SELENA TECHNIQUE – A CASE REPORT
DOI:
https://doi.org/10.15547/tjs.2025.01.009Keywords:
ligamentopexy, pregnancy, uterine ventrosuspensionAbstract
Introduction: Reports on pregnancy following surgical correction of pelvic organ prolapse are scarce, because such an intervention is not predominantly performed at fertility age and the duration of perioperative contraception is undefined.
Case presentation: This is the case of a 32-year-old patient with a successful third pregnancy, spontaneously occurring 30 months following laparoscopic uterine ventrosuspension by bilateral ligamentopexy of the round ligaments (LUVBLRL) using the Selena technique and delivery by extraperitoneal caesarian section, without intrapartal or postpartal operative complications.
Conclusion: No operative technique for pelvic organ prolapse has been found to verify a non-risk pregnancy and there is no definitive recommendation regarding the delivery method, although caesarian section is the prevalent treatment of choice with view to preventing recurrence.
LUVBLRL using the Selena technique may be a determining factor for isthmico-cervical incompetence, but is compatible with a successful pregnancy, having no effect on pelvic organ prolapse reversibility.
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