South African Journal of Obstetrics and Gynaecology vol:17 issue:2 pages:45
O&G Update Congres 2011 location:Pretoria, South Africa date:5-7 May 2011
Laparoscopy offers great exposure and surgical detail and
reduces blood loss and the need for excessive abdominal
packing and bowel manipulation, making it an excellent
modality to perform pelvic floor surgery. Although
laparoscopic colposuspension has been shown to be as
effective as an open procedure at 2 years’ follow-up, it
is less practised since the introduction of transvaginal
tape procedures. Laparoscopic repair of level I or apical
vaginal prolapse may be challenging, owing to the need
for extensive dissection and advanced suturing skills.
However, it offers the efficacy of open abdominal
sacrocolpopexy, such as lower recurrence rates and less
dyspareunia than sacrospinous fixation, as well as the
reduced morbidity of a laparoscopic approach.