Several surgical techniques are described in the treatment of pelvic organ prolapse (POP).

Before the 90s, surgery for pelvic organ prolapse was performed through the conventional vaginal and abdominal approach. In 1993, the first laparoscopic promontofixation or laparoscopic sacrocolpopexy was described [1] bringing the benefits of laparoscopy to POP surgery.
This procedure requires an experienced surgeon because in addition to the long operating time, several complications can occur in 9.7% of patients operated. These complications are increased in case of inexperienced operator and beginner. Laparoscopic sacrocolpopexy requires a good learning curve to master the surgical procedure and limit complications.
In 1998, a new surgical technique was developed by Debuisson [2] consisting in the adaptation to laparoscopy of Kapandji lateral colpopexy classically performed by laparotomy. Since its development, this technique continues to ensure the best anatomical and functional results.

the aim of this study is to verify the feasibility and the anatomical and functional outcome of this technique

This is a retrospective and descriptive study concerning 28 patients treated for a POP by a laparoscopic lateral prothetic suspension in one year period in our departement. 
The selection criteria were : patients Under 55 years, sexually active and without contraindications to laparoscopic surgery. The patients included in this study were operated by the same surgeon.
The following data were analyzed: characteristics of each patient (age, parity, menopausal status, medical history), preoperative symptoms, stage of the POP. Patients with urinary symptoms underwent urodynamic examination. Immediate or late postoperative complications and postoperative complications were identified as well as operative time.

Patients were examinated at three months of the procedure, at six months and after one year. They were questioned about their perineal, genital and urinary symptoms and had a systematic gynecological and perineal clinical examination. The functional and anatomical results are evaluated by comparing the preoperative and postoperative complaints.

The patient's mean age was 50.7 years. 13 patients were menopausal. The vaginal ball, pelvic heaviness and pelvic pain are the most commonly described symptoms. 8 of our patients had stress urinary incontinence. A laparoscopic prosthetic lateral suspension was performed  in all cases. the mean operating time was 130 minutes, no per or postoperative complications were found. by the third month after surgery, the anatomical result was satisfactory in all patients. Three POP recurrence were reported after one year fellow up.
These recurrences were treated by vaginal reconstructive surgery. The analysis of the anatomical and functional results shows that this technique has no advantage on the posterior floor prolapse (rectocele) and that its maximal benefit concerns the anterior and middle floor.
In patients with rectocele, a posterior surgical procedure must be associated.

The lateral laparoscopic suspension was described in 1998 by Debuisson  [2]. It is the laparoscopic adaptation of the Kapendji technique. Many arguments are in favor of this technique such as the relative short operating time, the low complications rate and the relative technical simplicity [3]. In our study no complications were reported.

The choice between lateral laparoscopic suspension and laparoscopic promontofixation remains controversial in the absence of reliable comparative studies. Nevertheless, the low rate of complication and the relative simplicity of this procedure make it a good choice and technique to treat pelvic organ prolapse. More studies are needed to compare between the two laparoscopic procedure (sacrospinal or promonto fixation and lateral suspension)

Fox SD, Stanton SL. Vault prolapse and rectocele: assessment of repair using sacrocolpopexy with mesh interposition. BJOG Int J Obstet Gynaecol 2000; 107(11):1371–5
Dubuisson, J.B.; Chapron, C. Laparoscopic iliac colpo-uterine suspension for treatment of genital prolapse using two meshes. A new operative technique. J. Gynecol. Surg. 1998, 14, 153-159.
Dubuisson JB, Yaron M, Wenger JM, Jacob S. Treatment of genital prolapse by laparoscopic lateral suspension using mesh: a series of 73 patients. J Minim Invasive Gynecol 2008; 15:49–55.