Laparoscopic Sacral Colpopexy: step by step technique

Hernández Hernández D1, Conde Santos G2, Padilla-Fernández B1, Castro Díaz D1

Research Type

Clinical

Abstract Category

Pelvic Organ Prolapse

Abstract 481
Video Session 2 - Prolapse and Incontinence
Scientific Podium Video Session 24
Thursday 5th September 2019
16:45 - 16:54
Hall G1
Pelvic Organ Prolapse Surgery Pelvic Floor
1.Hospital Universitario de Canarias, 2.Hospiten Tenerife
Presenter
G

Guillermo Conde Santos

Links

Abstract

Introduction
Abdominal sacrocolpopexy with mesh is considered the "Gold Standard" in the management of vaginal vault prolapse because of its good long-term results and better outcomes compared to vaginal techniques (1).
Design
Laparoscopic sacral colpopexy, described by Dorsey in 1993 (2), has expanded in recent years providing equivalent results with the advantages of minimally invasive surgery. It also allows anterior and posterior vaginal reconstruction to correct cystocele and rectocele. However, it is a highly demanding procedure with a mean operative time of 120-180 minutes in experienced groups (3).
Results
We describe our standardized technique using an atraumatic anchor system to the anterior vertebral ligament. It simplifies mesh fixation providing a strong attachment  which is simpler than conventional suturing, shortening the operative time and thus the possibility of complications.
Conclusion
Laparoscopic sacral colpopexy is our preferred surgical technique for vaginal vault and multi-compartment pelvic organ prolapse management.
References
  1. Maher C, Baessler K, Glazener CMA, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women: a short versionCochrane review. Neurourol Urodyn 2008; 27: 3–12
  2. Dorsey JH, Green D, Johnson Het al. Laparoscopic pelvic reconstruction for vaginal and uterine prolapse and urinary stress incontinence. Obstetrics and Gynecology Forum 1993; 6: 2-3
  3. Lee RK, Mottrie A, Payne CK, Waltregny D. A Review of the Current Status of Laparoscopic and Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse. Eur Urol 2014; 65: 1128-1137
Disclosures
<span class="text-strong">Funding</span> No disclosures <span class="text-strong">Clinical Trial</span> No <span class="text-strong">Subjects</span> None