This video demonstrates Total Laparoscopic Hysterectomy with Sacrocolpopexy by Dr. R K Mishra at World Laparoscopy Hospital. Treating pelvic organ prolapse (POP) with uterine conservation and sacral gastropexy has uncertain subjective and objective outcomes. We sought to compare laparoscopic sacral hysteropexy with laparoscopic total laparoscopic hysterectomy (TLH). Clinical data of patients who underwent TLH and patients who underwent laparoscopic sacral hysteropexy performed were reviewed retrospectively. Laparoscopic sacral hysteropexy versus laparoscopic sacrocolpopexy with hysterectomy for pelvic organ prolapse.
Total Laparoscopic Hysterectomy with Sacrocolpopexy at World Laparoscopy Hospital
Total Laparoscopic Hysterectomy (TLH) with Sacrocolpopexy is a highly advanced minimally invasive procedure performed for women suffering from uterine pathologies along with pelvic organ prolapse. At World Laparoscopy Hospital, this complex gynecological surgery is carried out with precision, innovation, and adherence to international standards of patient care and surgical excellence.
Total Laparoscopic Hysterectomy involves the complete removal of the uterus using small abdominal incisions with the help of a high-definition laparoscope and specialized instruments. When combined with sacrocolpopexy, the procedure not only addresses uterine conditions such as fibroids, adenomyosis, abnormal uterine bleeding, or early-stage malignancy but also corrects vaginal vault prolapse by restoring normal pelvic anatomy. Sacrocolpopexy provides strong apical support by attaching the vaginal vault to the sacral promontory using a surgical mesh, ensuring long-term durability and functional outcomes.
At World Laparoscopy Hospital, the procedure begins with a detailed preoperative evaluation, including imaging studies and thorough counseling. The surgery is performed under general anesthesia. Through 3–4 small keyhole incisions, the laparoscope provides magnified visualization of the pelvic organs. The uterus is carefully dissected and removed laparoscopically while preserving surrounding structures such as the bladder, ureters, and rectum.
Following hysterectomy, sacrocolpopexy is performed. A synthetic mesh is precisely positioned and fixed to the anterior and posterior vaginal walls and then secured to the sacral promontory. This technique restores vaginal length, axis, and support, significantly reducing recurrence rates of prolapse. The minimally invasive approach ensures minimal blood loss, less postoperative pain, reduced hospital stay, and faster recovery compared to open surgery.
One of the key strengths of World Laparoscopy Hospital is its team of highly skilled laparoscopic and robotic surgeons who are extensively trained in advanced pelvic reconstructive procedures. The institution is internationally recognized for excellence in minimal access surgery training and patient care. Surgeons follow evidence-based protocols and utilize state-of-the-art equipment to ensure safety and superior outcomes.
Patients undergoing TLH with sacrocolpopexy at the hospital benefit from enhanced recovery protocols, early ambulation, and comprehensive postoperative monitoring. Most patients are discharged within 24–48 hours and can resume routine activities much sooner than with traditional abdominal surgery.
In addition to delivering outstanding patient care, World Laparoscopy Hospital also serves as a global training center where gynecologists and surgeons from around the world gain hands-on experience in advanced laparoscopic techniques. Live surgical demonstrations and structured training programs ensure the dissemination of safe and effective surgical practices worldwide.
In conclusion, Total Laparoscopic Hysterectomy with Sacrocolpopexy at World Laparoscopy Hospital represents the perfect integration of surgical expertise, advanced technology, and patient-centered care. The procedure not only treats underlying gynecological disease but also restores pelvic support and improves quality of life, making it a gold standard solution for women requiring both hysterectomy and prolapse correction.
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