Single port laparoscopic sacrohysteropexy in a young patient presenting with grade III uterine prolapse and rectocele.

Int Urogynecol J

Department of Obstetrics and Gynecology, Bar-Ilan Health Faculty, Ziv Medical Center, Safed, Israel.

Published: September 2013

AI Article Synopsis

  • Uterine preservation during uterine prolapse treatment is increasingly common, with options for surgical approaches including vaginal, abdominal, or laparoscopic techniques.
  • The video details a specific surgical technique called sacro-hystero-pexy, originally described in 2001, adapted for use with Single Port Laparoscopy (SPL).
  • Findings indicate that SPL is a safe and effective method for performing sacro-hystero-pexy without significantly increasing operation time.

Article Abstract

Introduction: Uterine preservation in patients with uterine prolapse is a common practice in the last decade and the reconstructive pelvic operation can be done either by vaginal, abdominal or laparoscopic approach. In young patients, uterine preservation is a legitimate option and one of the proposed operations is sacro-hystero-pexy. Single Port Laparoscopy (SPL) is a relatively new technique. This is a case of a young patient presented with grade III uterine prolapse and rectocele.

Methods: The video presents the surgical technique of sacro-hystero-pexy as was described in 2001 by von Theobald, adapted specifically for the SPL technique.

Conclusions: The Single Port laparoscopy is an advanced laparoscopic technique. This video demonstrate that scaro-hystero-pexy can be done safely and efficacy with Single Port Laparoscopy without prolonging the operation time significantly.

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Source
http://dx.doi.org/10.1007/s00192-012-1997-3DOI Listing

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