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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Case report: a novel method for uterine-sparing hysteropexy
Florentien E M Vree1, Sarah L Cohen, Neeraj Kohli
1Brigham and Women's Hospital, Boston, MA 02115, USA.
Female Pelvic Medicine & Reconstructive Surgery
|July 11, 2012
Summary
This study presents a uterine-sparing hysteropexy technique using laparoscopic sacrohysteropexy. Blunt needles facilitate mesh arm placement for improved pelvic organ prolapse treatment.
Area of Science:
- Minimally invasive gynecologic surgery
- Pelvic reconstructive surgery
- Female pelvic medicine and reconstructive surgery
Background:
- Pelvic organ prolapse (POP) affects many women, often requiring surgical intervention.
- Hysteropexy, a uterine-sparing procedure, aims to correct prolapse while preserving the uterus.
- Laparoscopic approaches offer potential benefits in recovery and cosmesis for POP surgery.
Observation:
- A case report details a 50-year-old multiparous woman with POP.
- The patient underwent a laparoscopic sacrohysteropexy procedure.
- Polypropylene mesh was utilized for uterine suspension, achieving a good clinical outcome.
Findings:
- A novel technique for uterine-sparing hysteropexy is described.
- Laparoscopic sacrohysteropexy involves suspending the uterus to the sacrum using mesh.
- Specifically, mesh arms were placed medial to the uterine vessels.
Implications:
- The described technique facilitates easier and potentially safer mesh arm placement during laparoscopic sacrohysteropexy.
- Using blunt needles to introduce mesh arms is a key technical refinement.
- This approach may enhance the safety and efficacy of uterine-sparing procedures for pelvic organ prolapse.
