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- Title
Laparoscopic inguinal ligament suspension: a novel procedure to repair uterine prolapse.
- Authors
Dai, Zhiyuan; Li, Hui; Shu, Huimin; Guan, Xiaohong; Zhang, Kai
- 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.
- Subjects
UTERINE prolapse; LIGAMENTS; SURGICAL complications; PELVIC organ prolapse; BOWEL obstructions; COLPORRHAPHY; MYOMECTOMY
- Publication
International Urogynecology Journal, 2019, Vol 30, Issue 4, p657
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-018-3780-6