Laparoscopic inguinal ligament suspension: a novel procedure to repair uterine prolapse
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Introduction and hypothesis
Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attempt to demonstrate an alternative option for patients.
A 42-year-old woman with symptomatic stage I-IV uterine prolapse (POP-Q: Aa +2, Ba +2, C + 3, gh 6.5, pb 3, TVL 8.5, Ap 0, Bp 0, D 0) underwent inguinal ligament suspension. The principle steps and techniques to complete the operation are outlined in the video.
Prolapse repair was successfully completed without any intraoperative complications. The uterus was restored to its anatomic position. During the 12-month follow-up, neither recurrence nor postoperative complications, such as mesh exposure, de novo incontinence or bowel obstruction, etc., occurred.
Laparoscopic inguinal ligament suspension is a safe and feasible alternative for correcting the uterine prolapse. This surgery could be an attractive choice for patients who prefer a uterine-sparing surgery.
KeywordsInguinal ligament suspension Laparoscopic route Pelvic organ prolapse Uterine prolapse Uterine-sparing surgery
Zhiyuan Dai received support from the Research Program of the Pudong Municipal Commission of Health and Family Planning (PW2015D-9) and the Research Program of the Science and Technology Commission of Shanghai Municipality (17411967900). It is also supported by Shanghai Municipal Medical and Health Discipline Construction Projects (2017ZZ02015).
Compliance with ethical standards
Conflicts of interest
Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
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