[Laparoscopic lateral suspension, another way to treat genital prolapse]

Abstract

The laparoscopic sacrocolpopexy is the treatment of choice of pelvic organ prolapses since more than twenty years. The laparoscopic lateral suspension with mesh is an alternative technique. Its originality is the subperitoneal passing of the lateral arm of the mesh in the lateral abdominal wall, leaving the skin above the iliac crest, in a place without risks of vascular, nerve, bowel injuries. We report in this article the results of the three main publications on the subject. The indications are cystocele and apical descent. It can be envisaged when the access of the promontory is difficult; for instance in the presence of obesity, adhesions, sigmoid megacolon, or low position of the left common iliac vein, partially covering the promontory. It is also a practical technique for surgeons having a moderate experience of the promontory access.

Keywords: Cœlioscopie; Dôme vaginal; Genital prolapse; Laparoscopy; Lateral suspension; Prolapsus génital; Promontofixation; Sacrocolpoppexy; Suspension latérale; Vaginal vault.