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Laparoscopic hysteropexy: a novel technique for uterine preservation surgery

Abstract

Introduction

In recent years uterine preservation surgery for pelvic organ prolapse has become more popular. Traditional operations such as vaginal hysterectomy do not address the underlying pathophysiology of poor connective tissue support, which may result in a higher incidence of recurrent prolapse.

Methods

This video article demonstrates uterine preservation surgery for women with uterine prolapse using laparoscopic abdominal Prolene mesh.

Conclusions

This procedure, apart from possible preservation of fertility in younger women, provides strong apical support, which should be long lasting. The other advantages of laparoscopic surgery are quicker recovery, less pain and better cosmesis.

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References

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    Rahmanou P, White B, Price N, Jackson S (2013) Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively. Int Urogynecol J. doi:10.1007/s00192-013-2209-5

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    Elneil S, Cutner AS, Remy M, Leather AT, Toozs-Hobson P, Wise B (2005) Abdominal sacrocolpopexy for vault prolapse without burial of mesh: a case series. BJOG 112(4):486–489. doi:10.1111/j.1471-0528.2004.00426.x

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    Dällenbach P, Kaelin-Gambirasio I, Dubuisson JB, Boulvain M (2007) Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol 110(3):625–632. doi:10.1097/01.AOG.0000278567.37925.4e

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    Aigmueller T, Dungl A, Hinterholzer S, Geiss I, Riss P (2010) An estimation of the frequency of surgery for posthysterectomy vault prolapse. Int Urogynecol J 21(3):299–302. doi:10.1007/s00192-009-1033-4

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    Jackson SR, Avery NC, Tarlton JF, Eckford SD, Abrams P, Bailey AJ (1996) Changes in metabolism of collagen in genitourinary prolapse. Lancet 347(9016):1658–1661

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Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Conflicts of interest

None.

Author information

Correspondence to P. Rahmanou.

Electronic supplementary material

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(MOV 108 MB)

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(MOV 108 MB)

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Rahmanou, P., Price, N. & Jackson, S. Laparoscopic hysteropexy: a novel technique for uterine preservation surgery. Int Urogynecol J 25, 139–140 (2014). https://doi.org/10.1007/s00192-013-2129-4

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Keywords

  • Uterovaginal prolapse
  • Hysteropexy
  • Laparoscopic
  • Uterine preservation
  • Uterine suspension
  • Mesh