Laparoscopic Mesh Sacrohysteropexy: A Uterine Conserving Technique for Uterovaginal Prolapse

Abstract

Video Objective The purpose of the video is to describe the surgical technique involved in performing laparoscopic mesh sacrohysteropexy. A brief review of the outcomes from a 10 year retrospective single centre cohort study will be discussed. Setting Laparoscopic mesh sacrohysteropexy is a uterine conserving surgical technique for the management of apical vaginal prolapse. Interventions Laparoscopic mesh sacrohysteropexy involves fixing non-absorbable mesh from the posterior cervix to the sacral promontory. This is then covered with peritoneum from the para-rectal space. Conclusion A ten year retrospective cohort study has demonstrated success in 86% of patients with no further vaginal surgery required during the follow up period. This technique is useful for women wishing uterine preservation or for women who would be unable to tolerate a longer procedure such as a laparoscopic hysterectomy and sacrocolpopexy.