Laparoscopic Hystero-ligamentopexy in 3^rd-degree Prolapse (First Cases). Contribution on Laparoscopic Surgery

We thought it useful to treat three cases of third degree prolapse in old women (83, 76 and 84 years old) by laparoscopic hystero-ligamentopexy. The fundus of the uterus and the round ligaments are fixed to the anterior abdominal wall.

The very obvious advantages of this procedure are: absence of vulvo-vaginal dissection, a very short incision (1.5 to 2 cm.), very low risk of formation of intraperitoneal adhesions and the increase of abdominal and perineal comfort. Added to these are the immediate relief of functional disorders and uncomplicated postoperative recovery.

Clearly only a surgeon with considerable experience of endoscopy working in a proper operating theater with a good anesthetist and adequate assistance should undertake these operations in case any complications develop during them.