Laparoscopic Vaginal Vault Suspension

Laparoscopic approaches to vault prolapse include laparo-scopic sacrocolpopexy and uterosacral ligament suspension. A significant amount of laparoscopic skill is required for either procedure. The simplest approach involves reattachment or shortening of the uterosacral ligaments using a monofilament suture and extracorporeal knot tying (Figure 8-2.5). Modifications of the traditional sacro-colpopexy have been reported. However, success rates cannot be equated unless the procedure is performed with the identical techniques. We do not perform this surgical procedure at our institution, although it is often performed by our colleagues at the Cleveland Clinic in Cleveland.

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