Laparoendoscopic single-site (LESS) sacrocolpopexy: feasibility and efficacy of knotless procedure performed with conventional instruments |
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Authors: | Andre Luiz Farinhas Tome Marcos Tobias-Machado Walter Fernandes Correa |
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Institution: | (1) Department of Urology, ABC Medical School, Santo Andre, Brazil;(2) Disciplina de Urologia–Faculdade de Medicina do ABC–Fundacao ABC, Av. Principe de Gales, 821–Anexo II, CEP 09060-650 Santo Andre, SP, Brazil |
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Abstract: | The aim of this paper was to report a case of a patient with stage IV vaginal vault prolapse treated by laparoendoscopic single-site
(LESS) sacrocolpopexy using an Alexis retractor and a surgical glove attached to three trocars through a 3.5-cm umbilical
incision. Only conventional laparoscopic instruments were used for intrabdominal dissection of vagina and peritoneum. The
mesh was fixed to the vaginal fornix and to the sacral periosteum from the promontory using running sutures hold in the extremities
by polymer clips. The posterior peritoneum was closed over the mesh. LESS sacrocolpopexy performed with conventional instruments
is a difficult but feasible and efficient technique to treat vaginal vault prolapse that respects the principles of conventional
laparoscopic or open repairs. Alexis retractor associated with knotless sutures are technical options that simplify LESS reconstructive
surgical maneuvers. |
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Keywords: | |
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