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International Urogynecology Journal

, Volume 30, Issue 4, pp 657–660 | Cite as

Laparoscopic inguinal ligament suspension: a novel procedure to repair uterine prolapse

  • Zhiyuan DaiEmail author
  • Hui Li
  • Huimin Shu
  • Xiaohong Guan
  • Kai Zhang
IUJ Video
  • 128 Downloads

Abstract

Introduction and hypothesis

Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attempt to demonstrate an alternative option for patients.

Methods

A 42-year-old woman with symptomatic stage I-IV uterine prolapse (POP-Q: Aa +2, Ba +2, C + 3, gh 6.5, pb 3, TVL 8.5, Ap 0, Bp 0, D 0) underwent inguinal ligament suspension. The principle steps and techniques to complete the operation are outlined in the video.

Results

Prolapse repair was successfully completed without any intraoperative complications. The uterus was restored to its anatomic position. During the 12-month follow-up, neither recurrence nor postoperative complications, such as mesh exposure, de novo incontinence or bowel obstruction, etc., occurred.

Conclusions

Laparoscopic inguinal ligament suspension is a safe and feasible alternative for correcting the uterine prolapse. This surgery could be an attractive choice for patients who prefer a uterine-sparing surgery.

Keywords

Inguinal ligament suspension Laparoscopic route Pelvic organ prolapse Uterine prolapse Uterine-sparing surgery 

Notes

Acknowledgements

Zhiyuan Dai received support from the Research Program of the Pudong Municipal Commission of Health and Family Planning (PW2015D-9) and the Research Program of the Science and Technology Commission of Shanghai Municipality (17411967900). It is also supported by Shanghai Municipal Medical and Health Discipline Construction Projects (2017ZZ02015).

Compliance with ethical standards

Conflicts of interest

None.

Consent

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

Supplementary material

192_2018_3780_MOESM1_ESM.mp4 (96.7 mb)
ESM 1 (MP4 99,043 kb)

References

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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Shanghai First Maternity and Infant HospitalTongji University School of MedicineShanghaiChina
  2. 2.Department of Human AnatomyTongji University School of MedicineShanghaiChina

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