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Related Experiment Video

Updated: Feb 1, 2026

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Laparoscopic Lateral Suspension According to Dubuisson: Technical Video Guide with Tips and Tricks.

Stefano Di Michele1, Alessandro Caiazzo1, Maurizio Nicola D'Alterio1

  • 1Department of Surgical Sciences, Division of Gynecology and Obstetrics (Di Michele, Caiazzo, D'Alterio, and Angioni), University of Cagliari, Cagliari, Italy.

Journal of Minimally Invasive Gynecology
|January 30, 2026
PubMed
Summary

This video demonstrates Laparoscopic Lateral Suspension (LLS) for pelvic organ prolapse (POP). Refined techniques enhance safety, precision, and reproducibility in LLS procedures for better patient outcomes.

Keywords:
dubuisson techniquelaparoscopic lateral suspensionminimally invasive gynecologypelvic organ prolapseuterine prolapse

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Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Female Pelvic Medicine and Reconstructive Surgery

Background:

  • Pelvic organ prolapse (POP) affects a significant number of women, impacting quality of life.
  • Surgical management of POP aims to restore pelvic anatomy and function.
  • Laparoscopic Lateral Suspension (LLS) is a surgical technique for POP treatment.

Purpose of the Study:

  • To illustrate key technical steps and refined strategies for Laparoscopic Lateral Suspension (LLS).
  • To improve safety, precision, and reproducibility in LLS for pelvic organ prolapse (POP).

Main Methods:

  • The video presents intraoperative laparoscopic footage of LLS procedures.
  • Techniques include bladder suspension, accurate vaginal wall measurement, optimal mesh tailoring, and specific trocar use.
  • A standardized, step-by-step process is detailed to enhance intraoperative control and reproducibility.

Main Results:

  • Refined LLS techniques improve intraoperative control during dissection, mesh sizing, and retroperitoneal tunneling.
  • The use of a Foley segment for bladder retraction and measurement offers a low-cost, effective strategy.
  • Stepwise mesh deployment and peritoneal traction ensure safe and consistent suspension.

Conclusions:

  • Laparoscopic Lateral Suspension (LLS) offers an alternative to laparoscopic sacral colpopexy, especially when promontory access is challenging.
  • The presented refinements enhance reproducibility and intraoperative control in LLS procedures.
  • These techniques contribute to safer and more consistent surgical outcomes for POP treatment.