Nerve-Sparing Laparoscopic Colposacropexy Using a Percutaneous Surgical System: A Case Report

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Pelvic Reconstructive Surgery
• Surgical Technology Innovation

Background:

• Pelvic organ prolapse affects many women, significantly impacting quality of life.
• Surgical correction is often the most effective treatment, with laparoscopic sacral colpopexy offering advantages.
• Minimally invasive approaches aim to improve outcomes and reduce patient morbidity.

Observation:

• A nerve-sparing laparoscopic colposacropexy was performed using a 2.9-mm percutaneous surgical system (PSS).
• The procedure included mesh placement, subtotal hysterectomy, and salpingo-oophorectomy.
• The 2.9-mm PSS was evaluated for its technical performance as a needle holder.

Findings:

• The 2.9-mm PSS enabled a scarless approach with potentially less postoperative trauma.
• The use of the PSS did not increase operation time or complication rates.
• Early results suggest comparable efficacy and safety to conventional laparoscopic methods, with no observed prolapse recurrence.

Implications:

• This technique offers a novel, minimally invasive option for pelvic organ prolapse repair.
• Further clinical data is needed to validate these preliminary findings.
• The scarless approach may enhance patient recovery and satisfaction.