Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III–IV apical pelvic organ prolapse

  • Maurizio Serati
  • Antonio Simone LaganàEmail author
  • Jvan Casarin
  • Baldo Gisone
  • Simona Cantaluppi
  • Fabio Ghezzi
Original Article


Different techniques have been proposed over the last decades to avoid the vaginal vault prolapse following hysterectomy for severe (stage III–IV) apical pelvic organ prolapse. In this scenario, the laparoscopic duplication of the uterosacral ligaments to the vaginal apex might represent a simple alternative procedure, associated with low morbidity and optimal surgical outcomes. In this paper, we present the preliminary results of 25 consecutive patients, who underwent total laparoscopic hysterectomy followed by uterosacral ligament duplication for stage III–IV apical pelvic organ prolapse. A detailed description of the surgical procedure is also provided.


Laparoscopic uterosacral ligament colpopexy Pelvic organ prolapse Laparoscopy Hysterectomy Vaginal vault prolapse Duplication of the uterosacral ligaments 


Author contributions

FG performed the surgeries; BG and SC collected data; ASL and JC performed data analysis and wrote the manuscript; MS edited the manuscript. All the authors conform the International Committee of Medical Journal Editors (ICMJE) criteria for authorship, contributed to the intellectual content of the study and gave approval for the final version of the article.


The study was not funded.

Compliance with ethical standards

Conflict of interest

The authors have no proprietary, financial, professional or other personal interest of any nature in any product, service or company. The authors alone are responsible for the content and writing of the paper.

Research involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Italian Society of Surgery (SIC) 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, “Filippo Del Ponte” HospitalUniversity of InsubriaVareseItaly

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