Total Laparoscopic Cerclage Sacrohysteropexy

Abstract

Video Objective There has been a growing interest among both patients and surgeons in preserving the uterus during the treatment of pelvic organ prolapse. In this video we are demonstrating a novel surgical approach towards the treatment of pelvic organ prolapse. This surgical procedure simplifies the laparoscopic sacrohysteropexy procedure by significantly reducing endoscopic suturing and knot tying, without the need for a combined laparoscopic and vaginal surgical approach. Setting A 69 -year-old G2P2 Caucasian female suffering from stage II pelvic organ prolapse. Her POP-Q was notable for anterior and apical prolapse to the level of the hymen. The laparoscopic cerclage sacrohysteropexy was initiated following a bilateral salpingo-oophorectomy and completed entirely from the laparoscopic approach. Interventions Laparoscopic cerclage sacrohysteropexy. Conclusion This case demonstrates that a laparoscopic cerclage sacrohysteropexy is an efficient, simple, and time saving surgical option for women with pelvic organ prolapse.