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A new device for bone anchor fixation in laparoscopic sacrocolpopexy: The Franciscan laparoscopic bone anchor inserter

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Abstract

Background

A laparoscopic modification of the sacrocolpopexy procedure with mesh and bone anchor fixation with the Franciscan laparoscopic bone anchor inserter was developed.

Methods

We developed a laparoscopic bone anchor inserter for the placement of a titanium bone anchor in sacral segment 3 as fixation for the mesh in laparoscopic sacrocolpopexy procedures performed in women with posthysterectomy vault prolapse.

Results

Surgery successfully corrected vaginal vault prolapse. Laparoscopic bone anchor insertion with this new and simple device took 2 minutes and provided a firm anchor for mesh fixation. MRI demonstrated an anatomically preferable vaginal axis toward the hollow of the sacrum.

Conclusion

Application of the newly developed Franciscan laparoscopic bone anchor inserter in laparoscopic sacrocolpopexy is an easy and safe procedure that provides firm fixation and excellent anatomical results.

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Acknowledgment

The authors are indebted to M. Kuipers and Mrs. Y. D. de Beer for technical assistance during the operative procedures and to G. in ‘t Veen for expert skills in the construction of the laparoscopic bone anchor inserter.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Sint Franciscus Gasthuis, 3045, Rotterdam, PM, The Netherlands

    R. M. F. van der Weiden & M. I. J. Withagen

  2. Department of Orthopedic Surgery, Sint Franciscus Gasthuis, 3045, Rotterdam, PM, The Netherlands

    A. B. M. Bergkamp

  3. Department of Laparoscopic Surgery, Sint Franciscus Gasthuis, 3045, Rotterdam, PM, The Netherlands

    G. H. H. Mannaerts

Authors
  1. R. M. F. van der Weiden
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  2. M. I. J. Withagen
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  3. A. B. M. Bergkamp
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  4. G. H. H. Mannaerts
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Corresponding author

Correspondence to R. M. F. van der Weiden.

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van der Weiden, R.M.F., Withagen, M.I.J., Bergkamp, A.B.M. et al. A new device for bone anchor fixation in laparoscopic sacrocolpopexy: The Franciscan laparoscopic bone anchor inserter. Surg Endosc 19, 594–597 (2005). https://doi.org/10.1007/s00464-004-9125-1

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  • DOI: https://doi.org/10.1007/s00464-004-9125-1

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