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[Laparoscopic sacrocolpopexy: technical overview and standardized steps].

Attila Gergely Sipos1, Bence Kozma1, Bálint Farkas2,3,4

  • 11 Debreceni Egyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Intézet Debrecen, Nagyerdei krt. 98., 4032 Magyarország.

Orvosi Hetilap
|August 3, 2025
PubMed
Summary

Laparoscopic sacrocolpopexy is an effective minimally invasive surgery for apical uterovaginal prolapse. Standardizing surgical steps enhances safety, training, and efficiency, leading to improved patient outcomes with low recurrence rates.

Keywords:
endoscopyendoszkópialaparoscopic sacrocolpopexylaparoszkópos sacrocolpopexiaoverviewstandardized surgical techniquestandardizált műtéttechnikaáttekintés

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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.