Endoscopic lateral fixation using a t-shaped mesh implant is an effective way of correcting apical genital prolapse

Objective. To determine the effectiveness of endoscopic lateral fixation using a mesh implant as an alternative method for correcting apical prolapse. Subjects and methods. During the prospective study, the results of treatment were analyzed in 25 patients with apical prolapse, who underwent laparoscopic fixation of the cervix uteri, its stump or vaginal vault, by using a T-shaped polypropylene implant (Prof. J.B. Dubuisson). Results. The duration of surgery averaged 85 minutes. Intraoperative blood loss averaged 100 ml. There was a significant postoperative improvement in 20 of the 25 patients. Conclusion. Laparoscopic lateral fixation using a T-shaped mesh implant to correct apical genital prolapse is an effective, technically feasible, and safe alternative to sacropexy and its performance requires no expert proficiency level in endoscopic surgery. © Bionika Media Ltd.