What happens during a laparoscopic sacrocolpopexy?
A laparoscopic sacrocolpopexy surgery involves the strengthening of the pelvic floor. During the surgery, a surgical mesh is attached from the vagina to the tailbone (sacrum). The uterus may be removed if needed with or without the removal of the cervix. Depending on the patient’s age, consent, and family history, the fallopian tubes and/or ovaries may also be removed.
During a laparoscopic sacrocolpopexy:
- The anesthesiologist establishes the IV line.
- General anesthesia is given to the patient (the patient sleeps during the procedure).
- The surgeon cleans the area to be operated on and makes four to five small cuts on the abdomen.
- Carbon dioxide gas is used to inflate the abdomen, which creates a better view and space for the surgery.
- The surgeon passed a laparoscope (a thin, flexible, tube-like instrument with a camera and a light source) through one of the incisions. Other instruments are passed through the remaining incisions.
- The surgeon attaches a piece of surgical mesh to the front and back walls of the vagina and then to the sacrum. This suspends the top of the vagina or the cervix back into its normal position.
- The supports of the bladder and/or the rectum may also be strengthened if needed.
- In patients with an inability to control urine (urinary incontinence), a small piece of the mesh may be placed underneath the urethra (the tube that carries urine) to give support when the patient laughs, sneezes, or coughs.
- The surgeon ensures that there are no injuries at the end of the surgery through a small camera that examines the inside of the bladder.