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A new laparoscopic technique for uterine prolapse: one-sided uterine fixation through the round ligament

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Abstract

Introduction and hypothesis

In this study, we provide a description of laparoscopic uterine suspension technique through round ligament.

Methods

From 1997 to 2010, 55 patients with uterine prolapse were treated by laparoscopic uterine suspension. It is performed by suturing and tying a 1-0 Ethibond on the left round ligament at its insertion into the uterus. Then curved forceps pass the lateral puncture wound into the extraperitoneal space along the round ligament and penetrates the anterior leaf of the broad ligament into the peritoneal cavity and grasps the free ends of the Ethibond. They are withdrawn extraperitoneally along the round ligament then tightly tied at the fasciae on either side of the lateral puncture wound.

Results

Forty-two out of 55 patients (76.4%) experienced a reduction of prolapse to stage 0, regardless of what stage they started from. Twelve out of 55 (21.8%) experienced a reduction of prolapse varying from one to two stages. One out of 55 (1.8%) experienced no reduction in prolapse.

Conclusions

This technique reconstructs a new, inelastic round ligament.

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Abbreviations

ASIS:

Anterior superior iliac spine

LLQ:

Left lower quadrant

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Clinic of Fu Jen Catholic University, Taipei, Taiwan

    Ching-Hung Hsieh

  2. Department of Obstetrics and Gynecology, Chung Shan Hospital, Taipei, Taiwan

    Ching-Hung Hsieh

  3. Mackay Medicine, Nursing and Management College, Taipei, Taiwan

    Ching-Hung Hsieh

  4. P.O. Box 30-387, Taipei, 100, Taiwan

    Ching-Hung Hsieh

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  1. Ching-Hung Hsieh
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Correspondence to Ching-Hung Hsieh.

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Hsieh, CH. A new laparoscopic technique for uterine prolapse: one-sided uterine fixation through the round ligament. Int Urogynecol J 22, 213–219 (2011). https://doi.org/10.1007/s00192-010-1269-z

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  • DOI: https://doi.org/10.1007/s00192-010-1269-z

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