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International Urogynecology Journal

, Volume 24, Issue 9, pp 1445–1446 | Cite as

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

  • Naama Marcus-Braun
  • Peter von TheobaldEmail author
Video 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.

Keywords

Single port laparoscopy Sacrohysteropexy Sacrocolpopexy Uterine prolapse 

Notes

Consent

Written informed consent was obtained from the patient for publication of this case report/video article and any accompanying images.

Conflicts of interest

None.

Supplementary material

ESM 1

(MPG 132458 kb)

References

  1. 1.
    Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM et al (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104(4):805–823PubMedCrossRefGoogle Scholar
  2. 2.
    Maher CF, Feiner B, DeCuyper EM, Nichlos CJ, Hickey KV, O’Rourke P (2011) Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204(4):360.e1–360.e7CrossRefGoogle Scholar
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    Zucchi A, Lazzeri M, Porena M, Mearini L, Costantini E (2010) Uterus preservation in pelvic organ prolapse surgery. Nat Rev Urol 7(11):626–633. ReviewPubMedCrossRefGoogle Scholar
  4. 4.
    Von Theobald P (2001) Laparoscopic promontofixation. J Chir (Paris) 138(6):353–357, FrenchGoogle Scholar

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Bar-Ilan Health FacultyZiv Medical CenterSafedIsrael
  2. 2.Department of Gynecology Obstetrics and Reproductive MedicineUniversity Hospital of Reunion IslandReunion IslandFrance
  3. 3.Department of Gynecology and ObstetricsHôpital Félix Guyon, CHU Reunion IslandSaint Denis CedexFrance

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