Laparoscopic Pelvic Organ Prolapse Suspension with transvaginal mesh fixation

Seung Hyun Baek, MD, NahmGun Oh, Phd. Pusan National University Hospital

Background : Laparoscopic pelvic organ prolapse suspension is known as effective and safe technique for rectocele. The surgery is performed only laparoscopic approach. The implant mesh fixed by laparoscopic suturing.

Purpose: Laparoscopic access alone requires skills for mesh fixation suturing . The authors propose hybrid technique by using transvaginal approach for mesh fixation.

Technique : At the lithotomy position, under vaginal skin incision, prolene mesh is inserted. After transvaginal fixation, the grasper is inserted through laparoscopic port for unfolding mesh. The both tail of mesh is fixed under skin by trocar opening.

Methods: From 2013 to 2014, A total of 10 patients underwent pelvic reconstruction of Laparoscopic POPS /c transvaginal mesh fixation. This study was conducted at a single institution.

Results: There was no significant complication of wound infection, postoperative pain and co-morbidity. There was no recurrence after postoperative 60days.

Conclusions: Laparoscopic pelvic organ suspension with transvaginal mesh fixation is  alternative technique for treatment rectocele

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