Laparoscopic duplication of the uterosacral ligaments following hysterectomy for stage III–IV apical pelvic organ prolapse

• DOI: 10.1007/s13304-019-00690-9
• Publication Date: 2019-11-05T17:03:16Z
• Authors: Maurizio Serati; Antonio Simone La...; Jvan Casarin; Baldo Gisone; Simona Cantaluppi; Fabio Ghezzi
• Keywords: 03 medical and health sciences; Ligaments; 0302 clinical medicine; Vagina; Duplication of the uterosacral ligaments; Hysterectomy; Laparoscopic uterosacral ligament colpopexy; Laparoscopy; Pelvic organ prolapse; Vaginal vault prolapse; Humans; Female; Laparoscopy; Hysterectomy; Severity of Illness Index; Pelvic Organ Prolapse; Urogenital Surgical Procedures

Different techniques have been proposed over the last decades to avoid the vaginal vault prolapse following hysterectomy for severe (stage III-IV) apical pelvic organ prolapse. In this scenario, the laparoscopic duplication of the uterosacral ligaments to the vaginal apex might represent a simple alternative procedure, associated with low morbidity and optimal surgical outcomes. In this paper, we present the preliminary results of 25 consecutive patients, who underwent total laparoscopic hysterectomy followed by uterosacral ligament duplication for stage III-IV apical pelvic organ prolapse. A detailed description of the surgical procedure is also provided.