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Laparoscopic lateral suspension for pelvic organ prolapse in a case with difficulty in performing laparoscopic sacrocolpopexy
- Source :
- IJU Case Reports
- Publication Year :
- 2019
- Publisher :
- John Wiley and Sons Inc., 2019.
-
Abstract
- Introduction Mesh fixation at the promontory is the most important procedure in laparoscopic sacrocolpopexy. We present a case of pelvic organ prolapse wherein sacrocolpopexy was converted to lateral suspension intraoperatively due to tissue weakness of the promontory. Case presentation A 66-year-old woman with a sensation of bulge in the vagina presented to our clinic. She was diagnosed with uterine prolapse (grade III). Laparoscopic sacrocolpopexy was planned; exposure of the promontory and mesh fixation at the vesicovaginal and rectovaginal space could be smoothly performed. However, handling the needle at the promontory was impossible due to tissue weakness of the anterior longitudinal ligament of the sacrum. Consequently, mesh fixation was converted to lateral suspension. Conclusion Difficult mesh fixation at the promontory is not rare in laparoscopic sacrocolpopexy. Lateral suspension may be useful as a trouble-shooting procedure for laparoscopic sacrocolpopexy, and surgeons performing laparoscopic sacrocolpopexy should know this procedure.
- Subjects :
- laparoscopic sacrocolpopexy
geography
medicine.medical_specialty
Pelvic organ
Promontory
geography.geographical_feature_category
business.industry
promontory
Urology
Uterine prolapse
Case Report
Case Reports
laparoscopic lateral suspension
Sacrum
medicine.disease
pelvic organ prolapse
Surgery
Mesh fixation
Anterior longitudinal ligament
medicine.anatomical_structure
medicine
Vagina
Laparoscopic sacrocolpopexy
conversion
business
Subjects
Details
- Language :
- English
- ISSN :
- 2577171X
- Volume :
- 2
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- IJU Case Reports
- Accession number :
- edsair.doi.dedup.....067b1856d578303b26d6cbb9e0090a7d