[Laparoscopic approach in the pelvic floor surgery]

Area of Science:

• Minimally Invasive Surgery
• Urogynecology
• Pelvic Floor Disorders

Context:

• Pelvic floor surgery, particularly for apical vaginal prolapse, traditionally involves open abdominal procedures.
• Laparoscopy presents a minimally invasive alternative with potential benefits in surgical exposure and patient recovery.

Purpose:

• To evaluate the efficacy and feasibility of laparoscopic repair for level I or apical vaginal prolapse.
• To compare laparoscopic sacrocolpopexy outcomes with traditional open abdominal sacrocolpopexy and sacrospinous fixation.

Summary:

• Laparoscopic surgery offers superior surgical visualization and reduces blood loss and operative trauma compared to open surgery.
• While requiring advanced surgical skills for dissection and suturing, laparoscopic repair of apical prolapse achieves comparable efficacy to open abdominal sacrocolpopexy.
• Laparoscopic approaches demonstrate lower recurrence rates and reduced dyspareunia compared to sacrospinous fixation, alongside the inherent benefits of minimally invasive surgery.

Impact:

• Laparoscopic pelvic floor repair enhances surgical outcomes for apical vaginal prolapse.
• This approach minimizes patient morbidity while maintaining high efficacy, offering a favorable alternative to traditional open surgeries.
• The findings support the adoption of laparoscopic techniques for complex pelvic floor reconstructions, improving patient quality of life.