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International Urogynecology Journal

, Volume 25, Issue 11, pp 1591–1592 | Cite as

Laparoscopic sacrocolpopexy with deep attachment of anterior and posterior mesh

  • Sarlos DimitriEmail author
  • Aigmueller Thomas
  • Schaer Gabriel
IUJ Video

Abstract

Introduction

Sacrocolpopexy is considered a gold standard to cure apical prolapse, and since the US Food and Drug Administration (FDA) warning about complications of vaginal mesh surgery, the technique is increasingly used. Surgeons perform sacrocolpopexy in different variations, some by attaching the mesh to the apical third of the vagina, and others by applying the mesh anteriorly to the level of the bladder neck and posteriorly to the inner part of the perineum. The different techniques are neither standardized nor evaluated by randomized controlled trials.

Methods

This video aims to provide insight into the technique of deep placement of anterior and posterior mesh.

Conclusions

The video shows that deep mesh placement is feasible and can be performed with standardized parameters. The technique is based on 12 years of experience with laparoscopic sacrocolpopexy; 1- and 5-year results, published in this journal, show it is safe and provides good long-term results.

Keywords

Laparoscopic sacrocolpopexy Mesh Prolapse surgery Sacrocolpopexy Uterovaginal prolapse 

Notes

Acknowledgment

Many thanks for his assistance in video cutting to Jaromir Beles, video technician at Kantonsspital Aarau.

Conflicts of interest

None.

Supplementary material

ESM 1

(MP4 100142 kb)

References

  1. 1.
    Sarlos D, Brandner S, Kots L, Gygax N, Schaer G (2008) Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct 19:1415–1422PubMedCrossRefGoogle Scholar
  2. 2.
    Sarlos D, Kots L, Ryu G, Schaer G (2014) Long term follow-up of laparoscopic sacrocolpopexy. Int Urogynecol J Pelvic Floor Dysfunct;  10.1007/s00192-014-2369-y

Copyright information

© The International Urogynecological Association 2014

Authors and Affiliations

  • Sarlos Dimitri
    • 1
    Email author
  • Aigmueller Thomas
    • 2
  • Schaer Gabriel
    • 1
  1. 1.Department of Obstetrics and GynecologyKantonsspital AarauAarauSwitzerland
  2. 2.Department of Obsterics and GynecologyMedical University of GrazGrazAustria

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