Abstract
This video demonstrates modified procedure for hysterosacropexy that is simple, safe and easy even for younger surgeons. It is effective for treatment as well as avoiding rectum injury, a common complication of this type of procedure. This procedure caused less obstruction of the structure, which is beneficial for younger patients for improvements on sexual functions. Procedure started with laparoscopy approached to retroperitoneal space under the promontory. Then with soft tissue dissect away, and rectum pushed to the opposite site, the anatomy of the pre-sacrum area was clearly seen. Under the map of middle sacral vein, and the anterior sacral foramina, we identify the mesh fixation area. Then the mesh was implanted through the opening from vagina, with laparoscopic assist, the mesh was fixed safely on the pre-sacrum area. Then the round ligament was shortened to complete this safe, easy and simple procedure.
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