title: Laparoscopic hysterectomy and prolapse: a multiprocedural concept.
abstract: OBJECTIVE
  Today, laparoscopic intrafascial hysterectomy and laparoscopic supracervical hysterectomy are well-accepted techniques. With our multimodal concept of laparoscopic hysterectomy for benign indications, preservation of the pelvic floor as well as reconstruction of pelvic floor structures and pre-existing prolapse situations can be achieved.
  
  
  METHODS
  The multimodal concept consists of 3 steps: 1. Intrafascial hysterectomy with preservation of existing structures. A. Technique 1: Primary uterine artery ligation. B. Technique 2: Classic intrafascial hysterectomy. 2. A technique for the stable fixation of the vaginal or cervical stump. 3. A new method of pectopexy to correct a pre-existing descensus situation. RESULTS AND CONCLUSTION: This well-balanced concept can be used by advanced endoscopic gynecologic surgeons as well as by novices in our field.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller Strasse 3, House 24, 24105 Kiel, Germany. kiel.school@uksh.de.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alkatout
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany.
authors.forename: Liselotte
authors.initials: L
authors.lastname: Mettler
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany.
authors.forename: Goentje
authors.initials: G
authors.lastname: Peters
authors.affiliation: Department of Gynecology and Obstetrics, Dormagen Hospital, Dormagen, Germany.
authors.forename: Günter
authors.initials: G
authors.lastname: Noé
authors.affiliation: Department of Gynecology and Obstetrics, St Elisabeth Hospital, Damme, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Holthaus
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany.
authors.forename: Walter
authors.initials: W
authors.lastname: Jonat
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany.
authors.forename: Thoralf
authors.initials: T
authors.lastname: Schollmeyer
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*