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01-08-2018 | IUJ Video

Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique

Authors: Giovanni Panico, Giuseppe Campagna, Daniela Caramazza, Nicola Amato, Alfredo Ercoli, Giovanni Scambia, Mauro Cervigni, Riccardo Zaccoletti

Published in: International Urogynecology Journal | Issue 8/2018

Abstract

Introduction and hypothesis

Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. The aim of this video is to describe an alternative laparoscopic approach to a traditional vaginal procedure to reduce nerve injury and ureteral complications.

Methods

A 75-year-old woman was referred to our unit for symptomatic stage III apical prolapse and underwent laparoscopic USL fixation, according to the technique described herein.

Results

This surgical technique was successful in correcting apical prolapse.

Conclusions

This video tutorial may be useful to urogynecologists for improving surgical technique, thus leading to a reduction in the risk of nerve and ureteral complications. The technique offers the possibility of a correct under-vision suture positioning. Laparoscopic USL fixation can be safely performed to treat apical prolapse.

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Title: Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique
Authors: Giovanni Panico
Giuseppe Campagna
Daniela Caramazza
Nicola Amato
Alfredo Ercoli
Giovanni Scambia
Mauro Cervigni
Riccardo Zaccoletti
Publication date: 01-08-2018
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 8/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3588-4

At a glance: The STEP trials

Springer Medicine

Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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