Laparoscopic sacrocolpopexy for post-hysterectomy vaginal vault prolapse
Oguchi, N.; Yoshida, K.; Inoue, T.; Kawa, G.; Kinoshita, H.; Yoshimura, Y.; Yamaguchi, O.; Matsuda, T.
Hinyokika Kiyo. Acta Urologica Japonica 53(7): 467-471
2007
ISSN/ISBN: 0018-1994 PMID: 17702179 Document Number: 606109
Laproscopic sacrocolpopexy offers a minimally invasive approach to correct post-hysterectomy vaginal vault prolapses. Herein we present our surgical technique and results. Through the transperitoneal approach, the retroperitoneal space was dissected along the right edge of the rectum and a polypropylene mesh is sutured to the vaginal apex and the anterior longitudinal ligament of the sacrum. We sutured the mesh to the sacrum with 2-0 PDS. To prevent bleeding from the pre-sacral vessels, occasionally we used a bone anchor system, Straight-In, in sacral fixation. Nine patients underwent this operation since August 19, 2005. The patient's age ranged from 48 to 78 years old. The median operation time was 250 minutes and the blood loss was 80.7 ml. The median post-operative hospital stay was 8.3 days. We experienced no peri- or post-operative complications. The vagina was well fixed post-operatively in all patients. Laparoscopic sacrocolpopexy is a minimally invasive treatment for vault prolapse and offers a high quality of life to patients.