Laparoscopic Pectopexy

  • Artur Palmas Serviço de Urologia, Hospital das Forças Armadas, Lisboa; CUF Urology Department, Hospital CUF Cascais, Cascais
  • Nuno Domingues Serviço de Urologia, Hospital das Forças Armadas, Lisboa; CUF Urology Department, Hospital CUF Cascais, Cascais
  • Carlos Santos Serviço de Urologia, Hospital das Forças Armadas, Lisboa
  • Macieira Pires Serviço de Urologia, Hospital das Forças Armadas, Lisboa; CUF Urology Department, Hospital CUF Cascais, Cascais

Abstract

Different operative approaches for the repair of a genital prolapse have been reported. However, for the reconstitution of a physiological axis of the vagina, a sacropexy seems to be the most adequate approach. We describe a method of laparoscopic apical prolapse surgery, where the lateral parts of the iliopectineal ligament are used for a bilateral mesh fixation of the descended structures. The iliopectineal ligament is a stable structure for the fixation of meshes and sutures, statistically significant stronger than the sacrospinous ligament and arcus tendinous of pelvic fascia. The incidence of defecation disorders, are reduced by a more physiological lateral fixation, which does not reduce the pelvic space. We used a single-port transumbilical device, with an additional 5 mm port, where at the end of the procedure, the drain is placed. This technique, a virtually scarless surgery, represents also, an option for women, who have an esthetic concern about scars.

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Published
2017-12-17
How to Cite
PALMAS, Artur et al. Laparoscopic Pectopexy. Acta Urológica Portuguesa, [S.l.], v. 34, n. 3-4, p. 37-40, dec. 2017. ISSN 2387-0419. Available at: <http://www.actaurologicaportuguesa.com/index.php/aup/article/view/25>. Date accessed: 20 apr. 2018. doi: https://doi.org/10.24915/aup.34.3-4.25.