[Laparoscopic sacrocolpopexy: technical overview and standardized steps]

Area of Science:

• Minimally Invasive Surgery
• Gynecological Surgery
• Urogynecology

Background:

• Laparoscopic sacrocolpopexy is a common treatment for apical uterovaginal prolapse.
• Minimally invasive approaches offer advantages, but technique variations exist.
• Standardized surgical steps are crucial for procedural safety and efficacy.

Purpose of the Study:

• To present standardized surgical steps for laparoscopic sacrocolpopexy.
• To analyze clinical data from procedures performed using the standardized technique.
• To evaluate the safety and efficacy of this approach.

Main Methods:

• Standardization of laparoscopic sacrocolpopexy into 10 key steps based on literature and clinical experience.
• Analysis of data from 30 consecutive procedures performed between September 2022 and April 2023.
• Evaluation of intraoperative, postoperative complications, recurrence rates, and patient-reported outcomes.

Main Results:

• No major intraoperative or postoperative complications were observed in 30 procedures.
• The majority of patients reported significant improvement in prolapse symptoms after 6 weeks.
• Two cases of symptomatic recurrence were identified, one managed conservatively and one surgically.

Conclusions:

• Standardized laparoscopic sacrocolpopexy is an effective treatment for apical uterovaginal prolapse.
• Standardization improves procedural safety, aids surgical training, and may reduce operative time.
• The technique demonstrates good efficacy with a low rate of de novo stress urinary incontinence.