Transvaginal Single-Port Laparoscopy Sacrocolpopexy

Area of Science:

• Gynecologic surgery
• Minimally invasive surgical techniques
• Pelvic organ prolapse (POP) management

Background:

• Minimally invasive surgery is increasingly preferred for gynecologic procedures, including pelvic organ prolapse (POP) repair.
• Natural orifice transluminal endoscopic surgery principles enable advanced minimally invasive approaches.
• Single-port laparoscopy offers a less invasive alternative for complex pelvic reconstructive surgery.

Observation:

• A transvaginal sacrocolpopexy was performed using a single-port laparoscopic approach in a 59-year-old female patient with POP-Q stage II anterior, stage III middle, and stage II posterior compartment prolapse.
• The procedure involved vaginal hysterectomy, bilateral salpingo-oophorectomy, mesh fixation to the posterior vaginal wall and sacral promontory, and subsequent anterior mesh suturing.
• The surgery lasted approximately 2 hours with 50 mL blood loss, and the patient was discharged fully recovered.

Findings:

• The transvaginal single-port laparoscopic sacrocolpopexy successfully addressed middle compartment pelvic organ prolapse.
• A 5-month follow-up revealed no recurrence of prolapse, mesh erosion, or other complications.
• The procedure demonstrated feasibility and positive short-term results for POP management.

Implications:

• Transvaginal single-port laparoscopic sacrocolpopexy represents a viable and effective surgical option for middle compartment pelvic organ prolapse.
• This technique may enhance patient recovery and reduce surgical morbidity compared to traditional methods.
• Further clinical studies with larger cohorts are warranted to validate these findings and establish long-term efficacy.