2019 Volume 35 Issue 2 Pages 409-413
In Japan, laparoscopic sacral colpopexy (LSC) is performed often, and its efficacy has become well known over the past several years. But sometimes, technical difficulty arises with this procedure, especially in obese patients. In Europe, laparoscopic pectopexy has been developing, as a new technique for apical prolapse.
A 69-year old woman, gravid 4 para 2, came to our hospital with uterine prolapse. She had a pelvic organ prolapse quantification (POP-Q) of stage IV. Her body mass index (BMI) was 28.8 kg/m2 and she had a history of two previous intra-pelvic surgeries. As securing the anchor point at the sacral promontory was a great concern, we decided to perform laparoscopic pectopexy.
After laparoscopic supracervical hysterectomy, successful fixation of mesh to the ilio-pectineal ligaments on either side of the pelvis was achieved. The cervical stump was then elevated without any complication. This is the first report in Japan, of laparoscopic pectopexy, for treating pelvic organ prolapse.
