A new device for bone anchor fixation in laparoscopic sacrocolpopexy: the Franciscan laparoscopic bone anchor inserter.
BACKGROUND
A laparoscopic modification of the sacrocolpopexy procedure with mesh and bone anchor fixation with the Franciscan laparoscopic bone anchor inserter was developed.


METHODS
We developed a laparoscopic bone anchor inserter for the placement of a titanium bone anchor in sacral segment 3 as fixation for the mesh in laparoscopic sacrocolpopexy procedures performed in women with posthysterectomy vault prolapse.


RESULTS
Surgery successfully corrected vaginal vault prolapse. Laparoscopic bone anchor insertion with this new and simple device took 2 minutes and provided a firm anchor for mesh fixation. MRI demonstrated an anatomically preferable vaginal axis toward the hollow of the sacrum.


CONCLUSIONS
Application of the newly developed Franciscan laparoscopic bone anchor inserter in laparoscopic sacrocolpopexy is an easy and safe procedure that provides firm fixation and excellent anatomical results.
van der Weiden
R M F
RM
Department of Obstetrics and Gynecology, Sint Franciscus Gasthuis, 3045 PM Rotterdam, The Netherlands. rmfvdwei@knmg.nl
Withagen
M I J
MI
Bergkamp
A B M
AB
Mannaerts
G H H
GH
D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012447:Sacrum / Q000601:surgery*; D013526:Surgical Mesh; D013536:Suture Techniques / Q000295:instrumentation; D014025:Titanium; D014596:Uterine Prolapse / Q000601:surgery*
D014025:Titanium