Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique

Giovanni Panico, Giuseppe Campagna, Daniela Caramazza, Nicola Amato, Alfredo Ercoli, Giovanni Scambia, Mauro Cervigni, Riccardo Zaccoletti

Research output: Contribution to journalArticle

Abstract

Introduction and hypothesis: Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. The aim of this video is to describe an alternative laparoscopic approach to a traditional vaginal procedure to reduce nerve injury and ureteral complications. Methods: A 75-year-old woman was referred to our unit for symptomatic stage III apical prolapse and underwent laparoscopic USL fixation, according to the technique described herein. Results: This surgical technique was successful in correcting apical prolapse. Conclusions: This video tutorial may be useful to urogynecologists for improving surgical technique, thus leading to a reduction in the risk of nerve and ureteral complications. The technique offers the possibility of a correct under-vision suture positioning. Laparoscopic USL fixation can be safely performed to treat apical prolapse.

Original languageEnglish
Pages (from-to)1227-1229
Number of pages3
JournalInternational Urogynecology Journal
Volume29
Issue number8
DOIs
Publication statusPublished - Aug 1 2018

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Keywords

  • Apical suspension
  • Laparoscopic uterosacral ligament suspension
  • Native tissue repair
  • Pelvic organ prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Urology

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