Strengths and limitations
To the best of our knowledge, our study is the first to evaluate the
association between reconstructive surgery of severe uterovaginal
prolapse and IAP. The second strength of the study is the homogenous
population and that all procedures were standard laparoscopic
sacrocolpopexy procedures in order to eliminate the effect of abdominal
incision. A major limitation of the study is the small study population
and lack of sample size calculation to prevents us from drawing clear
conclusions. Secondly, we did not perform early postoperative IAP
measurements, as pain and respiratory changes might influence the
measured IAP. Another limitation is the lack of inter-observer
variability since all the measurements were performed by the same
experienced investigator.