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International Urogynecology Journal

, Volume 29, Issue 8, pp 1227–1229 | Cite as

Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique

  • Giovanni Panico
  • Giuseppe Campagna
  • Daniela Caramazza
  • Nicola Amato
  • Alfredo Ercoli
  • Giovanni Scambia
  • Mauro Cervigni
  • Riccardo Zaccoletti
IUJ Video
  • 435 Downloads

Abstract

Introduction and hypothesis

Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. The aim of this video is to describe an alternative laparoscopic approach to a traditional vaginal procedure to reduce nerve injury and ureteral complications.

Methods

A 75-year-old woman was referred to our unit for symptomatic stage III apical prolapse and underwent laparoscopic USL fixation, according to the technique described herein.

Results

This surgical technique was successful in correcting apical prolapse.

Conclusions

This video tutorial may be useful to urogynecologists for improving surgical technique, thus leading to a reduction in the risk of nerve and ureteral complications. The technique offers the possibility of a correct under-vision suture positioning. Laparoscopic USL fixation can be safely performed to treat apical prolapse.

Keywords

Laparoscopic uterosacral ligament suspension Pelvic organ prolapse Apical suspension Native tissue repair 

Notes

Compliance with ethical standards

Conflicts of interest

None.

Consent

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

Supplementary material

ESM 1

(MP4 128,807 kb)

References

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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  • Giovanni Panico
    • 1
  • Giuseppe Campagna
    • 1
  • Daniela Caramazza
    • 1
  • Nicola Amato
    • 2
  • Alfredo Ercoli
    • 3
  • Giovanni Scambia
    • 1
  • Mauro Cervigni
    • 1
  • Riccardo Zaccoletti
    • 2
  1. 1.Department of Woman And Child Health, Woman Health Area, Fondazione Policlinico Universitario A. GemelliUniversità Cattolica del Sacro CuoreRomeItaly
  2. 2.Obstetrics and Gynecology UnitP. Pederzoli HospitalVeronaItaly
  3. 3.Department of Obstetrics and Gynecology, Università degli Studi del Piemonte Orientale “Amedeo Avogadro”Maggiore HospitalNovaraItaly

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