Pelvic Organ Prolapse
Guillermo Conde Santos
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).
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).
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.
Laparoscopic sacral colpopexy is our preferred surgical technique for vaginal vault and multi-compartment pelvic organ prolapse management.
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