Abstract
Abstract Introduction: Sacrocolpopexy is the gold standard for high-stage pelvic organ prolapse and has attained this reputation from many successful years in achieving optimal success and duration of surgical results. Reducing the time and potential difficulties with this procedure would be a useful venture for the surgeon. We describe in this video our approach to the utilization of absorbable and nonabsorbable tacks for fixation of both anterior and posterior polypropylene mesh extensions to both the vaginal walls and sacrum. Methods: Between January 2008 and September 2009, 62 patients underwent sacrocolpopexy with absorbable and nonabsorbable tacks (Absorbatack and Protack; Covidien, Mansfield, MA) for repair of stage 2 or more pelvic organ prolapse of at least two pelvic compartments. All surgeries included a tension-free vaginal tape obturator or tension-free vaginal tape Secur (Gynecare, Southfield, NJ) for potential stress urinary incontinence (not demonstrated in video). The absorbable tacks (va...
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