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Stepwise Laparoendoscopic Single-site Pectopexy for Pelvic Organ Prolapse
Qianqing Wang1, Zhenkun Guan2, Xiangcui Guo1
1Xinxiang Central Hospital, Henan (Drs. Wang, Guo, Chen, Li, and Liu,).
Journal of Minimally Invasive Gynecology
|October 23, 2020
Summary
Laparoendoscopic single-site surgery (LESS) pectopexy is a feasible and effective minimally invasive technique for treating pelvic organ prolapse. This approach offers improved cosmesis and is a valuable alternative for patients with complex cases, including those with obesity.
Area of Science:
- Minimally Invasive Surgery
- Gynecologic Surgery
- Pelvic Floor Disorders
Background:
- Pelvic organ prolapse (POP) affects many women, impacting quality of life.
- Laparoscopic sacrocolpopexy is the standard treatment but can be challenging.
- Obesity and anatomical variations can complicate traditional POP surgery.
Purpose of the Study:
- To demonstrate the stepwise techniques for safe and successful laparoendoscopic single-site surgery (LESS) pectopexy.
- To present LESS pectopexy as a novel, minimally invasive alternative for POP repair.
Main Methods:
- A stepwise demonstration using narrated video footage.
- The procedure utilizes the pectineal ligament (Cooper's ligament) for mesh suspension.
- Canadian Task Force classification III study.
Main Results:
- The procedure was successfully completed in approximately 80 minutes.
- Preoperative vaginal length was 6 cm, maintained postoperatively.
- Postoperative pelvic organ prolapse quantification was stage 0.
Conclusions:
- LESS pectopexy is a feasible and effective technique for POP repair.
- This approach offers superior cosmesis compared to traditional methods.
- It provides a simpler, effective alternative for challenging POP cases, including those with obesity.
