Uterine Prolapse - Rectocele
A 68 year old woman presented with uterine prolapse and a rectocele.
Uterine prolapse and rectocele.
She underwent a Subtotal Laparoscopic Hysterectomy (the cervix was conserved). The vaginal apex is then supported – a Laparoscopic Mesh Sacral Colpopexy. The two arms of the mesh are sutured to the anterior and posterior cervix. The mesh is then tacked to the sacral promontory. A Vaginal Posterior Repair is performed.
The patient made an excellent recovery. Follow up confirmed the vagina was well supported.
The laparoscopic view of the pelvis at the start – uterus, ovaries and tubes (incidentally, there is a clip on the right Fallopian Tube for sterilisation)
The mesh is tacked into the Sacral Promontory
A Laparoscopic Hysterectomy has been performed. The mesh is now sutured laparoscopically to the cervical stump
The peritoneum is closed over the mesh
The pelvis at the end of the procedure