Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Laparoscopic Sacrocolpopexy

S. Manodoro1,2, E. Werbrouck1,+, J. Veldman1, K. Haest1,3, R. Corona1, F. Claerhout1,*, G. Coremans1, D. De Ridder1, F. Spelzini 2, J. Deprest1

1 Pelvic Floor Unit, University Hospitals, Katholieke Universiteit Leuven, Leuven, Belgium;
2 Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, University of Milan-Bicocca, Milan, Italy;
3 Vie Curie, Venlo, The Netherlands;
+ Currently at the Department of Obstetrics and Gynaecology, AZ Sint Jozef, Izegem, Belgium;
* Currently at the Bekkenbodemkliniek, AZ Sint Lucas, Brugge, Belgium.

Correspondence at: Jan deprest, pelvic Floor unit, uz Gasthuisberg, Herestraat 49, Leuven 3000, belgium. Email: jan.deprest@uzleuven.be; tel: +3216344215; Fax: +3216344205

Keywords:

Colposuspension, sacrocolpopexy, laparoscopy, mesh, graft related complications, learning curve.


Published online: Oct 05 2011

Abstract

Laparoscopy offers great exposure and surgical detail, reduces blood loss and the need for excessive abdominal packing and bowel manipulation making it an excellent modality to perform pelvic floor surgery. Laparoscopic repair of level I or apical vaginal prolapse may be challenging, due to the need for extensive dissection and advanced suturing skills. However, it offers the efficacy of open abdominal sacrocolpopexy, such as lower recurrence rates and less dyspareunia than sacrospinous fixation, as well as the reduced morbidity of a laparoscopic approach.