Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique
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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.
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.
This surgical technique was successful in correcting apical prolapse.
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.
KeywordsLaparoscopic uterosacral ligament suspension Pelvic organ prolapse Apical suspension Native tissue repair
Compliance with ethical standards
Conflicts of interest
Written informed consent was obtained from the patient for publication of this video article and any accompanying images.
(MP4 128,807 kb)
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