Indication
Pelvic organ prolapse involving the uterus and bladder.
Technique
Visualization of the pelvic situs. Opening of the visceral peritoneum. Surgical preparation of the space below the bladder up to the bladder neck. Placement and fixation of mesh. Withdrawal of mesh arms. Closure of the visceral peritoneum.
Contraindications
Patient declines mesh use.
Patient has contraindication for laparoscopy.
Complications
Entrapment of the ilioinguinal nerve.
Mesh erosion.
Other laparoscopy complications.
Postoperative Management
Removal of vaginal packing and urinary catheter 24h after surgery at the latest.
Examination and demissio up to 48h after surgery.
Bibliography
- Veit-Rubin, N., Dubuisson, J., Constantin, F., Lange, S., Eperon, I., Gomel, V., & Dubuisson, J. B. (2019). Uterus preservation is superior to hysterectomy when performing laparoscopic lateral suspension with mesh. International urogynecology journal, 30(4), 557–564. https://doi.org/10.1007/s00192-018-3678-3