Minimal invasive abdominal sacral colpopexy and abdominal lateral suspension: a multicentric prospective non-inferiority trial

Abstract

Introduction and aim of the study: Abdominal Minimally Invasive Surgery (A-MIS), which is performed by minimally invasive approach such as laparoscopic, mini-laparoscopic and robotic has become widely used for advanced or multicompartmental prolapse treatment. Likewise, Abdominal Sacral Colpopexy (ASC) is considered the gold-standard for multicompartmental or advanced prolapse treatment. However, alternative surgical strategies, such as Abdominal Lateral Suspension (ALS) with mesh, have been developed in order to avoid the anatomical threats of suspension to the sacrum.