Introduction of Laparoscopic Sacrocolpopexy at Our Hospital and Device for Preventing Complications

Abstract

  Laparoscopic sacrocolpopexy (LSC) provides patients with a safe and low relapse-rate procedure for Pelvic Organ Prolapse (POP), and a shift has been observed from traditional vaginal surgery to laparoscopic surgery in our hospital. From March 2015 to September 2016, 25 cases with POP underwent LSC after an uterus subtotal hysterectomy was performed, which fixed the double mesh suture of the vaginal wall and the L5 anterior longitudinal ligament. Upon introduction, patient's age, comorbidities, and lower urinary tract disorders were evaluated preoperatively to determine the adaptation by the appropriate questionnaire, Core Lower urinary tract Symptom Score (CLSS) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Surgical manipulation in the pouch of Douglas seems to be a rate-limiting step of surgery. Identification of the Levator ani muscles is crucial for accurate recognition of the pelvic floor midline, including the rectum, by appropriate towing. In addition, this stage is also important to prevent the complications of de novo defecation disorders.