LAPAROSCOPIC PECTOUTEROPEXY: ALTERNATIVE TECHNIQUE FOR UTERINE PRESERVATION

Two months ago, a laparoscopic lifting of the uterus was performed in a young 30-year-old woman with subtotal prolapse of the uterus (falling out of the vagina).

We left time to see how the patient will recover and how she’ll feel. She is fine and overjoyed that her uterus has been preserved. Namely, in these women, removal of the uterus through the vaginal route is done. We used a method which preserved the uterus. We performed a laparoscopic lift on the pectineal ligament of the pelvic bone using a mesh. Given that we had experience with lifting the vagina (vault prolapse) in 3 previous patients in a similar way, we performed the operation in just one hour. The patient left the hospital the next day.

Another alternative way of lifting prolapsed uterus is sacrocolpopexy, associated with more complications, the appearance of stress incontinence, plus it requires longer hospitalization and longer analgesia.

“This is a new method for which experiences are still being gathered in the world. We remain true to our vision and mission to apply the latest technology and technique of endoscopic surgery”, says Dr. Hristijan Trpchevski, the young but very experienced leader in the field of microinvasive surgery in Macedonia.

You can view the operation at the following link: