Laparoscopic Sacrocolpopexy
It is a surgical procedure used to treat pelvic organ prolapse in women.
Through laparoscopy a Mesh material anchored to the vaginal vault then attached to the ligament of sacrum.
The mesh provides support like a buttress to the organs that have prolapsed, such as the uterus, bladder, or rectum, and helps to hold them in their proper place and position.
This approach involves making 3 to 4 small cuts of 0.5 cm in size in the abdomen, through which specialized instruments are introduced to perform the procedure.
If you're looking for laparoscopic sacrocolpopexy treatment in Bangalore, Dr. Sunil Eshwar is a leading specialist providing advanced and effective care. With extensive expertise in treating pelvic organ prolapse, Dr. Sunil Eshwar ensures that patients receive top-notch medical attention combined with minimally invasive techniques for quicker recovery and reduced complications.
Women with pelvic organ prolapse (POP), a condition in which the pelvic organs (such as the bladder, uterus, or rectum) descend or protrude into the vaginal canal due to weakened or stretched pelvic support structures.
Women who have significant symptoms related to their POP, such as discomfort or pressure in the pelvic area, difficulty with bowel or bladder function, or sexual dysfunction.
Women who have tried and failed with conservative measures as pelvic floor exercises or pessary devices without success
It is a lap surgical procedure that is performed under general anesthesia. Here are the basic steps involved in the procedure:
- Small 3 to 4 incisions are made in the abdomen.
- A video laparoscope is introduced and other specilased instruments are used to facilitate the surgery.
- A mesh is introduced and kept in place to provide additional support to uterus, bladder and the other end of mesh is attached to the sacrum . The mesh is kept in place by sutures.
- The instruments are removed and the incisions are closed by suture or glue.
- Vaginal Vault Prolapse: This is the most common indication, often following hysterectomy where the vaginal apex loses support and descends into the vaginal canal.
- Uterine Prolapse: Sacral colpopexy can also be performed when the uterus itself prolapses, although this is more often addressed by hysterectomy with colpopexy or uterine-preserving procedures.
- Cystocele (Bladder Prolapse): It can be used as part of the treatment for anterior compartment prolapse (bladder prolapse), especially in combination with repair procedure of bladder prolapse.
- Rectocele (Rectal Prolapse): Although sacral colpopexy alone does not directly address rectoceles, it may be done along with posterior repair.
- Enterocele (Small Bowel Prolapse): Prolapse of the small intestine into the vaginal canal can also be treated with sacral colpopexy, where the vaginal vault.
- Failed Pelvic Floor Surgery: In patients who have previously undergone unsuccessful pelvic floor reconstructive surgery.
- Sexually Active Women: Sacral colpopexy is preferred in women who are sexually active as it provides better anatomical correction of prolapse with minimal impact on vaginal function.
- Faster recovery
- Improved quality of life
- Long-lasting results
- Better accuracy
- Minimal scarring
- Pain and discomfort
- Risks and complications
- Injury to surrounding structures, risk of bleeding due to injury of major blood vessels, and mesh erosion.
- Post operative constipation, difficulty in passing urine.
- Prolonged operating time
- Need for Surgical expertise
- Cost of surgery
- Small chance of Recurrence of prolapse
who should perform the surgery
It is a complex surgical procedure that should be performed by a trained and experienced surgeon.
It should be performed by a gynaecologic surgeon who has trained in pelvic surgery or has extensive experience in performing laparoscopic procedures and who has a track record of successful outcomes.
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