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Related Experiment Video

Updated: May 1, 2026

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
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Laparoscopic hysterectomy and prolapse: a multiprocedural concept.

Ibrahim Alkatout1, Liselotte Mettler2, Goentje Peters2

  • 1Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller Strasse 3, House 24, 24105 Kiel, Germany. kiel.school@uksh.de.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 1, 2014
PubMed
Summary

This study introduces a multimodal laparoscopic hysterectomy concept for benign conditions, focusing on pelvic floor preservation and reconstruction. The technique aims to achieve stable fixation and correct pelvic organ prolapse, benefiting both novice and advanced surgeons.

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Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Pelvic Floor Reconstruction

Background:

  • Laparoscopic intrafascial hysterectomy and supracervical hysterectomy are established procedures.
  • Pelvic floor preservation and reconstruction are critical in hysterectomy for benign conditions.

Purpose of the Study:

  • To present a multimodal laparoscopic hysterectomy concept for benign indications.
  • To achieve pelvic floor preservation and reconstructive outcomes.
  • To address pre-existing pelvic organ prolapse situations.

Main Methods:

  • The multimodal concept involves three key steps.
  • Step 1: Intrafascial hysterectomy with preservation of structures (primary uterine artery ligation or classic technique).
  • Step 2: Stable fixation of the vaginal/cervical stump.
  • Step 3: Pectopexy for descensus correction.

Main Results:

  • The described multimodal concept enables pelvic floor preservation.
  • Reconstruction of pelvic floor structures and correction of prolapse are achievable.
  • The technique allows for stable fixation of the vaginal or cervical stump.

Conclusions:

  • This multimodal laparoscopic hysterectomy concept is a well-balanced approach.
  • It is suitable for both advanced endoscopic gynecologic surgeons and novices.
  • The technique effectively addresses benign hysterectomy indications with pelvic floor considerations.