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.

Total Laparoscopic Hysterectomy (TLH) with Sacrocolpopexy is a gold-standard minimally invasive procedure for women suffering from uterine pathology associated with pelvic organ prolapse. The TLH + Sacrocolpopexy Skin-to-Skin Surgical Video provides a complete, unedited, real-time demonstration of the procedure, from patient positioning to final skin closure, offering invaluable learning for gynecologists and laparoscopic surgeons.

Understanding TLH with Sacrocolpopexy

TLH involves the complete removal of the uterus using laparoscopic techniques, minimizing surgical trauma and promoting faster recovery. Sacrocolpopexy is performed to restore normal vaginal anatomy by suspending the vaginal vault to the sacral promontory using a surgical mesh, ensuring durable pelvic floor support.

The combined procedure is especially beneficial for patients with uterine prolapse, vault prolapse, or advanced pelvic organ prolapse who require both definitive treatment and long-term anatomical correction.

Importance of the Skin-to-Skin Surgical Video

A skin-to-skin surgical video captures every step of the operation without edits, giving viewers a realistic understanding of operative flow, time management, anatomical landmarks, and complication prevention. This format is highly valuable for training and credentialing purposes.

Key Highlights of the Video

Patient positioning and port placement

Safe dissection of uterine ligaments and uterine vessels

Complete laparoscopic hysterectomy technique

Identification of sacral promontory and presacral anatomy

Mesh placement and fixation during sacrocolpopexy

Peritoneal closure to prevent mesh exposure

Final inspection, hemostasis, and skin closure

Surgical Advantages Demonstrated

Minimal blood loss

Reduced postoperative pain

Lower infection risk

Faster recovery and shorter hospital stay

Excellent long-term anatomical and functional outcomes

Educational Value for Surgeons

This TLH + Sacrocolpopexy skin-to-skin surgical video serves as an advanced educational resource for gynecologists, urogynecologists, and laparoscopic trainees. It enhances understanding of pelvic anatomy, improves confidence in complex suturing, and demonstrates best practices for mesh handling and fixation.

Conclusion

The TLH + Sacrocolpopexy Skin-to-Skin Surgical Video is a powerful learning tool that bridges the gap between theory and real-world surgical practice. By presenting an authentic, step-by-step laparoscopic approach, it helps surgeons refine their skills, improve patient outcomes, and adopt safe, standardized techniques in minimally invasive gynecologic surgery.