Laparoscopic Pectopexy Using a Cervical Cerclage Tape and Native Tissue Repair to Correct Vaginal Vault Prolapse
Athanasios Protopapas, Nikolaos Kathopoulis, Athanasios Douligeris, Ioannis Chatzipapas, Themos Grigoriadis, Dimitrios Zacharakis, Konstantinos Kypriotis
TL;DR
This paper introduces a new laparoscopic technique using a cervical cerclage tape to treat vaginal vault prolapse without mesh.
Contribution
A novel mesh-free laparoscopic pectopexy technique using cervical cerclage tape is proposed for vaginal vault prolapse.
Findings
Laparoscopic pectopexy with cervical cerclage tape is a feasible alternative to mesh sacrocolpopexy.
The technique uses native tissue repair to correct vaginal vault prolapse.
Abstract
Laparoscopic pectopexy, facilitated by a cervical cerclage tape for the suspension of the vaginal vault, presents a feasible alternative to mesh sacrocolpopexy for the management of POP.
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Taxonomy
TopicsPelvic floor disorders treatments · Anorectal Disease Treatments and Outcomes · Urinary Bladder and Prostate Research
Pelvic organ prolapse (POP) represents a prevalent clinical condition with multiple clinical and psychological sequelae [1]. Anterior vaginal wall suspension to the pectineal ligament with mesh (pectopexy) is commonly performed when access to the promontory is challenging [2]. Video 1 illustrates the case of a 56‐year‐old woman with a post‐hysterectomy stage 3 apical prolapse alongside a stage 2 cystocele, managed with a new technique of laparoscopic pectopexy using a permanent cervical cerclage tape to suspend the vagina to the iliopectineal ligament. The tape was sutured to the vaginal wall over a reinforced anterior fascia after native tissue correction of the cystocele to reduce the attachment surface of the synthetic material to the vagina.
Question
Is there an alternative method to mesh sacrocolpopexy for the management of Pelvic Organ Prolapse?
Author Contributions
Athanasios Protopapas: conceptualization, methodology. Nikolaos Kathopoulis: writing – original draft. Athanasios Douligeris: supervision, validation. Ioannis Chatzipapas: writing – review and editing. Themos Grigoriadis: methodology, supervision. Dimitrios Zacharakis: conceptualization, data curation. Konstantinos Kypriotis: conceptualization, resources.
Ethics Statement
The method presented is exempt from institutional review board approval, as a common surgical step.
Consent
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
Conflicts of Interest
The authors declare no conflicts of interest.
The reference list from the paper itself. Each links out to its DOI / PubMed record.
- 1V. L. La Rosa , M. Ciebiera , L. T. Lin , et al., “Multidisciplinary Management of Women With Pelvic Organ Prolapse, Urinary Incontinence and Lower Urinary Tract Symptoms. A Clinical and Psychological Overview,” Przeglad Menopauzalny 18, no. 3 (2019): 184–190.31975987 10.5114/pm.2019.89496 PMC 6970416 · doi ↗ · pubmed ↗
- 2V. Billone , G. Gullo , G. Perino , et al., “Robotic Versus Mini‐Laparoscopic Colposacropexy to Treat Pelvic Organ Prolapse: A Retrospective Observational Cohort Study and a Medicolegal Perspective,” Journal of Clinical Medicine 13, no. 16 (2024): 4802.39200944 10.3390/jcm 13164802 PMC 11355471 · doi ↗ · pubmed ↗