Recent advances in laparoscopic surgery have helped surgeons repair many pelvic floor defects, which are often difficult to reach by the vaginal method. Examples include prolapse of the vaginal vault, enterocoele and paravaginal cystocoele.
How is laparoscopic repair performed?
In the laparoscopic procedure, the surgeons insert a tiny telescope (laparoscope) through a small incision at the umbilicus. This is attached to a camera-television setup, giving the surgeons a magnified view of the pelvic floor.
Via three keyhole incisions in the abdomen, the surgeons use specially designed instruments to lift and attach the prolapsed organs back to the ligament and muscle support with many non-absorbable sutures. The sutures act as a bridge allowing scar tissue to form the long-term support.
What are the benefits of laparoscopic pelvic floor repair?
Excellent view of the pelvic floor from above
Accurate identification of the pelvic floor defects
Minimising the need and extent of vaginal repair, thus reducing the risk of painful internal scars
Hysterectomy for uterine prolapse may be avoided or deferred until childbearing is completed
Restoration of normal pelvic anatomy is achievable