This video demonstrates the case of a woman suffering from pelvic prolapse. A laparoscopic colposacropexy combined with Total Laparoscopic hysterectomy is performed by Dr. R.K. Mishra at World Laparoscopy Hospital. This is a complex procedure, which requires a perfect knowledge and understanding of both the pelvic anatomy and of the surgical technique for an adequate repair of defects. The standardized technique is followed, showing the six-point technique for the fixation of both anterior and posterior mesh. Total Laparoscopic Hysterectomy is one of the most common surgical procedures performed. Although this procedure is most commonly performed via an open abdominal or vaginal approach, laparoscopic hysterectomy has been increasing in popularity. For pelvic organ prolapse TLH with Laparoscopic Sacrocolpopexy in Method of Choice. 
 

TLH + Sacrocolpopexy Skin to Skin by Dr. R. K. Mishra at World Laparoscopy Hospital

Modern gynecological surgery has evolved rapidly with the advancement of minimally invasive techniques. Among these innovations, the combination of Total Laparoscopic Hysterectomy (TLH) with Sacrocolpopexy has become an effective surgical solution for women suffering from uterine disease along with pelvic organ prolapse. At the World Laparoscopy Hospital, this advanced procedure is frequently demonstrated and performed by the renowned laparoscopic surgeon Dr. R. K. Mishra, who is globally recognized for his expertise in minimal access surgery and surgical education.

The TLH + Sacrocolpopexy skin-to-skin procedure represents a highly refined laparoscopic technique where the entire surgery—from the first incision to the final closure—is performed using minimally invasive methods. Total Laparoscopic Hysterectomy involves the removal of the uterus through laparoscopic instruments inserted via small abdominal ports. This technique significantly reduces surgical trauma, blood loss, and recovery time compared to traditional open surgery.

Sacrocolpopexy, on the other hand, is a reconstructive procedure designed to correct vaginal vault prolapse. After the uterus is removed, the vaginal vault may sometimes lose its natural support and descend. During sacrocolpopexy, a surgical mesh is used to attach the vaginal vault to the sacral promontory, restoring normal pelvic anatomy and providing long-term structural support. When combined with TLH, this procedure effectively treats both uterine pathology and pelvic organ prolapse in a single operation.

Under the guidance of Dr. R. K. Mishra, the skin-to-skin approach emphasizes efficiency, precision, and adherence to advanced laparoscopic principles. Every step—from trocar placement, dissection, vascular control, uterine removal, to mesh fixation and peritoneal closure—is performed with meticulous care. His surgical demonstrations are not only focused on patient safety but also serve as valuable learning experiences for surgeons attending training programs at the World Laparoscopy Hospital.

One of the major advantages of this combined laparoscopic approach is the enhanced recovery for patients. Due to smaller incisions and minimal tissue trauma, patients usually experience less postoperative pain, shorter hospital stays, faster return to daily activities, and better cosmetic outcomes. Additionally, the durability of sacrocolpopexy ensures long-term support of pelvic organs, reducing the likelihood of recurrence.

The surgical sessions led by Dr. R. K. Mishra also emphasize the importance of structured training and hands-on experience. Surgeons from around the world visit the World Laparoscopy Hospital to observe and learn these advanced procedures. Through live demonstrations, step-by-step explanations, and interactive discussions, participants gain deep insights into complex laparoscopic pelvic reconstructive surgery.

In conclusion, TLH with Sacrocolpopexy performed skin-to-skin represents a significant advancement in minimally invasive gynecologic surgery. The expertise of Dr. R. K. Mishra and the world-class training environment at the World Laparoscopy Hospital continue to inspire surgeons globally, promoting safer surgical practices and improved patient outcomes. This procedure stands as a perfect example of how modern laparoscopic techniques can combine efficiency, precision, and patient-centered care.