Laparoscopic Pectopexy: A New Technique in Prolapse Surgery

Abstract Introduction/Aims of Study: Major difficulties of sacral colpopexy are ileus and defecation difficulties caused by less space in the lower pelvis. The iliopectineal ligament has been used over a long period for Burch operation and the pectopexy does this either. The lateral positioning of the mesh beneath the round ligament has enabled a sufficient fixation without restriction of the bowel. The study shows the good postoperative outcome of the technique. Multiple publications show that for the reconstitution of a physiological axis of the vagina regarding size, depth, and slant, a sacropexy seems to be the most adequate approach.1–5 For more than 6 years we have been performing laparoscopic sacral colpopexy in the treatment of vaginal vault prolapse. Our cure rate of 92.1%6 and our experience of >600 procedures led our view to some weak points of the technique and encouraged us in developing a new technique. As obesity is one of the major risks for vault prolapse, it can be a challenge for surger...