Laparoscopic Hysterectomy with Sacrocolpopexy for Uterine Prolapse in Elderly Women

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This video demonstrate Laparoscopic Hysterectomy with Sacrocolpopexy for Uterine Prolapse performed by Dr R K Mishra at World Laparoscopy Hospital. Total Laparoscopic Hysterectomy with Sacrocolpopexy is performed in order to correct prolapse and/or herniation of the vagina, uterus, and bladder. In this procedure, which is done in conjunction with a laparoscopic hysterectomy, mesh is used to anchor the cervix to the anterior longitudinal ligament of sacrum, thereby lifting the vagina and bladder into their normal anatomic positions. Laparoscopic sacrocolpopexy can also be performed in women who have suffered a prolapse of the vagina and sometimes the intestines as well—a condition known as enterocele. Traditional open abdominal sacrocolpopexy has been shown to be a durable and successful method of repairing symptomatic prolapse while maintaining natural vaginal depth and length. We have now adapted the techniques utilized in open surgery to laparoscopic sacrocolpopexy. Laparoscopic surgery offers a minimally invasive approach with several technical advantages for the surgeon, including enhanced visualization with magnification, reduced blood loss, improved suturing techniques. Laparoscopic sacrocolpopexy avoids the need for a large abdominal incision, women undergoing this procedure are able to experience a less painful recovery with a significantly quicker return to normal activities than would be possible with open surgery.