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Updated: May 1, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Laparoscopic sacrocolpopexy.

S Manodoro¹, E Werbrouck², J Veldman³

¹Pelvic Floor Unit, University Hospitals, Katholieke Universiteit Leuven, Leuven, Belgium ; Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, University of Milan-Bicocca, Milan, Italy.

Facts, Views & Vision in Obgyn

|April 23, 2014

Summary

This summary is machine-generated.

Laparoscopic pelvic floor surgery provides excellent surgical detail and reduced patient morbidity. While challenging, this approach offers lower recurrence rates for apical vaginal prolapse compared to other methods.

Keywords:

Colposuspension graft related complications laparoscopy learning curve mesh sacrocolpopexy

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Area of Science:

Minimally Invasive Surgery
Gynecologic Surgery
Pelvic Floor Reconstruction

Background:

Laparoscopy enhances surgical visualization and reduces complications in pelvic floor surgery.
Apical vaginal prolapse repair, particularly level I, presents surgical challenges due to dissection and suturing requirements.

Purpose of the Study:

To evaluate the efficacy and benefits of laparoscopic techniques for pelvic floor repair, specifically apical vaginal prolapse.

Main Methods:

Utilizing laparoscopic approaches for pelvic floor reconstruction.
Comparing outcomes with open abdominal sacrocolpopexy and sacrospinous fixation.

Main Results:

Laparoscopic surgery provides excellent exposure and surgical detail, minimizing blood loss and bowel manipulation.
Offers comparable efficacy to open sacrocolpopexy, with lower recurrence rates and less dyspareunia than sacrospinous fixation.

Conclusions:

Laparoscopic pelvic floor surgery is an effective modality for apical vaginal prolapse.
It combines the efficacy of open abdominal sacrocolpopexy with the reduced morbidity of a minimally invasive approach.