Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2013, Article ID 528636, 7 pages http://dx.doi.org/10.1155/2013/528636 Clinical Study A Comparison of Complications between Open Abdominal Sacrocolpopexy and Laparoscopic Sacrocolpopexy for the Treatment of Vault Prolapse Anne-Lotte W. M. Coolen, 1 Anique M. J. van Oudheusden, 1 Hugo W. F. van Eijndhoven, 2 Tim P. F. M. van der Heijden, 3 Rutger A. Stokmans, 4 Ben Willem J. Mol, 5 and Marlies Y. Bongers 1 1 Department of Gynaecology and Obstetrics, M´ axima Medical Centre, De Run 4600, 5500 MB Veldhoven, he Netherlands 2 Department of Gynaecology and Obstetrics, Isala Klinieken, Dokter van Heesweg 2, 8025 AB Zwolle, he Netherlands 3 Department of Gynaecology and Obstetrics, Zorggroep Twente, Zilvermeeuw 1, 7609 PP Almelo, he Netherlands 4 Department of Epidemiology, CAPHRI Research School, Maastricht University, Minderbroedersberg 4-6, 6211 LK Maastrich, he Netherlands 5 Department of Gynaecology and Obstetrics, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, he Netherlands Correspondence should be addressed to Anne-Lotte W. M. Coolen; anne lotte coolen@hotmail.com Received 25 February 2013; Revised 14 August 2013; Accepted 28 August 2013 Academic Editor: Stephen Jefery Copyright © 2013 Anne-Lotte W. M. Coolen et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Sacrocolpopexy is a generally applied treatment for vault prolapse which can be performed laparoscopically or by open laparotomy. Methods. Between October 2007 and December 2012, we performed a multicenter prospective cohort study in 2 university and 4 teaching hospitals in the Netherlands. We included patients with symptomatic posthysterectomy vaginal vault prolapse requiring surgical treatment, who either had abdominal or laparoscopic sacrocolpopexy. We studied surgery related morbidity, which was divided in pre-, peri-, and postoperative characteristics. Results. We studied 85 patients, of whom 42 had open abdominal and 43 laparoscopic sacrocolpopexy. In the laparoscopic sacrocolpopexy group, estimated blood loss was signiicantly less compared to the abdominal group: 192 mL (±126) versus 77 mL (±182), respectively ( ≤ .001). Furthermore, hospital stay was signiicantly shorter in the laparoscopic group (4.2 days) as compared to the abdominal group (2.4 days) ( ≤ .001). he overall complication rate was not signiicantly diferent ( = .121). However there was a signiicant diference in favor of the laparoscopic group in peri- and postoperative complications requiring complementary (conservative) treatment and/or extended admittance (RR 0.24 (95%-CI 0.07–0.80),  = .009). Conclusion. Laparoscopic sacrocolpopexy reduces blood loss and hospital stay as compared to abdominal sacrocolpopexy and generates less procedure related morbidity. 1. Introduction he incidence of posthysterectomy vault prolapse requiring surgery has been estimated at 36 per 10,000 women years [1]. he risk increases cumulatively with years ater hysterectomy and increases signiicantly in women whose initial hysterec- tomy was performed for genital prolapse [1–3]. In an aging population, the number of women that will seek medical help for a vaginal vault prolapse will increase due to an improved life expectancy and due to the aging population. Surgery for pelvic organ prolapse, including vaginal vault prolapse, focuses on the restoration of the normal vaginal anatomy and normal bladder and bowel function. To date, a variety of diferent surgical procedures to correct vaginal vault prolapse have been reported [4]. hese reconstructive techniques can principally be divided into vaginal or abdom- inal procedures. he abdominal approach can be performed open or laparoscopically. According to a Cochrane review on the subject, abdominal sacrocolpopexy is associated with a lower rate of recurrent vault prolapse compared to the