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Home > Prolapse > Vaginal Vault Prolapse

Laparoscopic Sacral Colpopexy

The abdominal sacral colpopexy is one of the most successful operations for vaginal vault prolapse with excellent results. It involves suturing a synthetic mesh that connects and supports the vagina to the sacrum (tailbone). This procedure is complex in its nature and requires great expertise for a favorable outcome. Drs. Miklos and Moore have been performing the laparoscopic sacral colpopexy in the same manner as an open procedure with the exception of using a laparoscope over the past 5 years. They have the largest series of laparoscopic sacralcolpopexies ever published in the world. They recently reported the results of almost 500 cases, completed over the past 3 years at international meetings in Russia, Mexico and the United States. This was one of the featured research papers presented also at the American Urogynecologic Society Meeting in Miami, FL.  Many physicians and academicians do not believe the laparoscopic sacral colpopexy can be performed in a safe and efficient manner. Their paper has recently been published in the Journal Of Minimally Invasive Gynecology and it is the largest series in the world on Laparoscopic Sacralcolpopexy. Drs. Miklos and Moore can perform this procedure in less time with more sutures than the open sacral colpopexy.  Drs. Miklos and Moore do not believe in changing the technique of the operation but only the mode of surgical access into the abdomen.

The surgical video below titled "The 26 Minute Sacral Colpopexy: Do We Need Robotic Technology?" demonstrates the surgical skills of Dr. Miklos and Dr. Moore and their ability to perform a laparoscopic sacral colpopexy in less time, with less blood loss than the robotic surgical technique.

Advantages of Laparoscopic Sacral Colpopexy

  By performing the sacral colpopexy laparoscopically, our physicians are able to reposition the vagina to its anatomic position in a minimally invasive manner. Most surgeons perform this procedure through a large incision thus contributing to a longer recovery time. Our laparoscopic approach also allows us to incorporate additional laparoscopic procedures if needed.


uterosacral ligament suspension

Drs. Miklos & Moore can perform the laparoscopic sacral colpopexy ( Figure 2 & 3) in less time, less blood loss, smaller incisions and perform the surgery more precisely than by doing it through an open laparotomy (Figure 1). They  are one of only a few centers in the country offering this procedure through the laparoscopic approach and are by far the most experienced in the country with the technique. Surgeons from all over the US and internationally have come to their center to learn their techniques.



Surgical Procedures for Vault Prolapse



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