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Updated: Mar 25, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique
Renato Seracchioli1, Margherita Zanello1, Alessandro Arena1
1Department of Gynecology and Reproductive Biology, S. Orsola Hospital, University of Bologna, Italy.
Study Objective:
To show a new laparoscopic technique of hysteropexy for uterine retrodisplacement (retroversion and/or retroflexion).
Design:
Narrated step-by-step explanation of the Bologna hysteropexy technique using descriptive text and an educational video.
Setting:
Tertiary referred center of minimally invasive gynecology, Sant'Orsola Hospital, Bologna University.
Interventions:
The Bologna hysteropexy is proposed as an additional procedure after surgical laparoscopic interventions for benign gynecologic disease. The technique consists of 2 semicontinuous absorbable sutures (Biosyn monofilament no. 1 [Covidien, Mansfield, MA] with 2/3 inch diameter needle, 36 mm) suspending the uterus to the anterior abdominal wall, through the plication and shortening of round ligaments. A knot is tied intracorporeally between the 2 free ends of the semicontinuous sutures, drawing a V shape figure and resulting in uterine ventrosuspension.
Conclusion:
The Bologna technique hysteropexy is simple and quick to perform. It is effective in suspending the uterus in anteverted and anteflexed positions at 6-month ultrasound follow-up. No perioperative complications were recorded. It can be done with a standard surgical suture-passer and does not add additional cost to surgery. Furthermore, an absorbable suture is desirable for fertile women.
