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Related Experiment Video

Updated: Jul 5, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Laparoscopic sacral colpopexy: a proposed technique.

C C Goldberg1, J M Childers, E A Surwit

  • 1Department of Obstetrics and Gynecology University of Arizona 2625 N. Craycroft Road Tucson AZ 85724 USA.

Diagnostic and Therapeutic Endoscopy
|January 1, 1995
PubMed
Summary

This case report details a laparoscopic sacral colpopexy for complete vaginal vault prolapse. The procedure utilized Mersilene mesh, adapted for a patient with prior pelvic surgery and radiation therapy.

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Area of Science:

  • Urogynecology
  • Minimally Invasive Surgery
  • Pelvic Reconstructive Surgery

Background:

  • Complete vaginal vault prolapse is a significant gynecologic condition.
  • Previous pelvic surgery and radiation can complicate prolapse repair.
  • Laparoscopic approaches offer potential benefits in complex cases.

Purpose of the Study:

  • To describe a modified laparoscopic sacral colpopexy technique.
  • To detail the use of Mersilene mesh in a challenging surgical case.
  • To report on the feasibility of this approach in a patient with prior pelvic treatments.

Main Methods:

  • Laparoscopic sacral colpopexy using Mersilene mesh.
  • Mesh placed as a hammock from vaginal apex to sacrum.
  • Intracorporeal needles and extracorporeal knot tying technique employed.

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  • Modifications made due to prior pelvic lymphadenectomy and vaginal cuff radiation.

    • Main Results:

    • Successful placement of Mersilene mesh.
    • The modified technique was feasible in a patient with a complex history.
    • No immediate complications reported in this case report.

    Conclusions:

    • Laparoscopic sacral colpopexy is a viable option for vaginal vault prolapse.
    • Mesh placement can be adapted in patients with prior pelvic surgery and radiation.
    • This case highlights technique modifications for complex pelvic reconstructive surgery.