Review: The laparoscopic approach to pelvic floor surgery

  • S Manodoro
  • E Werbrouck
  • J Veldman
  • J Verguts
  • R Corona
  • F Van der Aa
  • G Coremans
  • D De Ridder
  • F Spelzini
  • J Deprest
Keywords: Colposuspension, Sacrocolpopexy, Laparoscopy, Mesh, Graft related complications, Learning curve

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.

Key words: Colposuspension; Sacrocolpopexy; Laparoscopy; Mesh; Graft related complications; Learning curve

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