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Hysterectomy pp 565-576 | Cite as

Total Laparoscopic Hysterectomy for the Patient with Concomitant Pelvic Organ

  • Shanti I. MohlingEmail author
  • Robert S. Furr
  • C. Y. Liu
Chapter

Abstract

Coexisting pelvic organ prolapse (POP) presents a unique challenge during laparoscopic hysterectomy. The primary goal of surgical treatment of POP at the time of hysterectomy is to reconstruct the pericervical ring and to restore the integrity of endopelvic fascia. This chapter describes precise techniques for hysterectomy with concomitant repair of pelvic prolapse, including importance of anatomy, surgical considerations and techniques for avoiding ureteral injury. Laparoscopic techniques for uterosacral ligament suspension and sacrocolpopexy are clearly described.

Keywords

Laparoscopic hysterectomy Pelvic organ prolapse Uterosacral ligament suspension Sacrocolpopexy Pericervical ring 

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Shanti I. Mohling
    • 1
    Email author
  • Robert S. Furr
    • 1
  • C. Y. Liu
    • 2
  1. 1.Fellowship Minimally Invasive Gynecology, Obstetrics and GynecologyUniversity of Tennessee College of Medicine at ChattanoogaChattanooga, Hamilton CountyUSA
  2. 2.Fellowship Minimally Invasive Gynecology, Obstetrics and GynecologyUniversity of Tennessee College of Medicine at ChattanoogaChattanooga, Hamilton CountyUSA

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