Abstract
This case report describes a laparoscopic sacral colpopexy using Mersilene mesh in a patient with complete vaginal vault prolapse. Mersilene mesh was placed as a hammock between the vaginal apex and the anterior surface of the sacrum, using intracorporeal needles and an extracorporeal knot tying technique. Minor modifications are made from the traditional abdominal approach, because the patient had previously undergone a pelvic lymphadenectomy and vaginal cuff radiation for a stage IB grade 1 adenocarcinoma of the endometrium.
Highlights
This case report describes a laparoscopic sacral colpopexy using Mersilene mesh in a patient with complete vaginal vault prolapse
Sacral colpopexy as first described in 1973, and subse- vagina was elevated by a sponge on a ring forceps in the quent modifications, require a midline abdominal incision vaginal vault
We report the use of opferential purse string sutures included the remnants of erative laparoscopy for this procedure to circumvent these uterosacral ligaments, the posterior vagina, and peridisadvantages of laparotomy
Summary
This case report describes a laparoscopic sacral colpopexy using Mersilene mesh in a patient with complete vaginal vault prolapse. The procedure was performed with the patient in the nal sacral colpopexy with retroperitoneal interposition of dorsal lithotomy position and the bladder drained. A 10 a synthetic suspensory hammock between the vaginal mm umbilical port, two 5 mm lateral lower abdominal apex and the anterior surface of the sacrum can be used. Sacral colpopexy as first described in 1973, and subse- vagina was elevated by a sponge on a ring forceps in the quent modifications, require a midline abdominal incision vaginal vault.
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