Laparoscopic approach in the pelvic floor surgery

Czech version

Authors: S. Manodoro ^1,2; E. Werbrouck ¹; J. Veldman ¹; K. Haest ^1,3; R. Corona ¹; F. Claerhout ^1,4; G. Coremans ¹; D. De Ridder ¹; F. Spelzini ²; J. Deprest ¹
Authors‘ workplace: Pelvic Floor Unit, University Hospitals, Katholieke Universiteit Leuven, Leuven, Belgium ¹; Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, University of Milan-Bicocca, Milan, Italy ²; Vie Curie, Venlo, Netherlands ³; Bekkenbodemkliniek, AZ Sint Lucas, Brugge, Belgium ⁴
Published in: Ceska Gynekol 2011; 76(6): 418-424
Category: Original Article

Overview

Laparoscopy offers great exposure and surgical detail, reduces blood loss and the need for excessive abdominal packing and bowel manipulation making it an excellent modality to perform pelvic floor surgery. Laparoscopic repair of level I or apical vaginal prolapse may be challenging, due to the need for extensive dissection and advanced suturing skills. However it offers the efficacy of open abdominal sacrocolpopexy, such as lower recurrence rates and less dyspareunia than sacrospinous fixation, as well as the reduced morbidity of a laparoscopic approach.

Key words:
laparoscopy, pelvic floor surgery, morbidity.

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