title: Laparoscopic surgery for pelvic support defects.
abstract: Reconstructive pelvic surgery for the treatment of vaginal prolapse continues to evolve as surgeons continue their quest for definitive surgical cure. Though there are three primary routes of access to reconstructive pelvic surgery (abdominal, vaginal and laparoscopic) it is the laparoscopic approach that appears to be the least utilized. This is in part due to the great degree of technical difficulty associated with laparoscopic suturing. This paper reviews the general principles and functional anatomy associated with normal vaginal support as well as the laparoscopic surgical approach to pelvic floor support defects.
authors.affiliation: Urogynecology and Reconstructive Pelvic Surgery, Atlanta Urogynecology Associates, Atlanta, Georgia 30005, USA. johnrmiklos@yahoo.com
authors.forename: John R
authors.initials: JR
authors.lastname: Miklos
authors.forename: Robert D
authors.initials: RD
authors.lastname: Moore
authors.forename: Neeraj
authors.initials: N
authors.lastname: Kohli
mesh_terms: D005260:Female; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D017773:Pelvic Floor / Q000033:anatomy & histology / Q000503:physiopathology* / Q000601:surgery*; D010388:Pelvis / Q000503:physiopathology*; D020047:Rectocele / Q000209:etiology / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000601:surgery; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology / Q000601:surgery