P Rahmanou1, N Price, S Jackson. 1. Women's Centre, Department of Urogynaecology, The John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, UK, Philip.Rahmanou@ouh.nhs.uk.
Abstract
INTRODUCTION: In recent years uterine preservation surgery for pelvic organ prolapse has become more popular. Traditional operations such as vaginal hysterectomy do not address the underlying pathophysiology of poor connective tissue support, which may result in a higher incidence of recurrent prolapse. METHODS: This video article demonstrates uterine preservation surgery for women with uterine prolapse using laparoscopic abdominal Prolene mesh. CONCLUSIONS: This procedure, apart from possible preservation of fertility in younger women, provides strong apical support, which should be long lasting. The other advantages of laparoscopic surgery are quicker recovery, less pain and better cosmesis.
INTRODUCTION: In recent years uterine preservation surgery for pelvic organ prolapse has become more popular. Traditional operations such as vaginal hysterectomy do not address the underlying pathophysiology of poor connective tissue support, which may result in a higher incidence of recurrent prolapse. METHODS: This video article demonstrates uterine preservation surgery for women with uterine prolapse using laparoscopic abdominal Prolene mesh. CONCLUSIONS: This procedure, apart from possible preservation of fertility in younger women, provides strong apical support, which should be long lasting. The other advantages of laparoscopic surgery are quicker recovery, less pain and better cosmesis.
Authors: Mèlanie N van IJsselmuiden; Manon H Kerkhof; René P Schellart; Marlies Y Bongers; Wilbert A Spaans; Hugo W F van Eijndhoven Journal: Int Urogynecol J Date: 2014-12-19 Impact factor: 2.894