Laparoscopic management of pelvic floor relaxation
Epublication WebSurg.com, Dec 2014;14(12). URL: http://websurg.com/doi/lt03endubuisson003
In this key lecture, Professor JB Dubuisson discusses the indications, technique and results of surgical alternatives to sacrocolpopexy (namely the gold standard technique for POP surgery): laparoscopic lateral suspension with mesh (TiLOOP® mesh used) to treat cystocele and hysterocele or vaginal vault prolapse, (underlining the importance to associate, in these cases, a posterior compartment laparoscopic or vaginal procedure to avoid secondary rectocele); laparoscopic paravaginal repair for site-specific repair (cystocele/lateral cystocele), and finally, laparoscopic spinofixation for site-specific repair of isolated vaginal vault descent or post-prolapse treatment. Of note, a short consideration about titanized polypropylene meshes is made.