Single port laparoscopic sacrohysteropexy in a young patient presenting with grade III uterine prolapse and rectocele.
BACKGROUND
Uterine preservation in patients with uterine prolapse is a common practice in the last decade and the reconstructive pelvic operation can be done either by vaginal, abdominal or laparoscopic approach. In young patients, uterine preservation is a legitimate option and one of the proposed operations is sacro-hystero-pexy. Single Port Laparoscopy (SPL) is a relatively new technique. This is a case of a young patient presented with grade III uterine prolapse and rectocele.


METHODS
The video presents the surgical technique of sacro-hystero-pexy as was described in 2001 by von Theobald, adapted specifically for the SPL technique.


CONCLUSIONS
The Single Port laparoscopy is an advanced laparoscopic technique. This video demonstrate that scaro-hystero-pexy can be done safely and efficacy with Single Port Laparoscopy without prolonging the operation time significantly.
Department of Obstetrics and Gynecology, Bar-Ilan Health Faculty, Ziv Medical Center, Safed, Israel.
Naama
N
Marcus-Braun
Peter
P
von Theobald
D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D020047:Rectocele / Q000601:surgery*; D012720:Severity of Illness Index; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000601:surgery