Failed laparoscopic sacrohysteropexy in a patient with total uterine and vaginal prolapse after delivery with major pelvic floor defect

Abstract

We present a unique combination of imaging, second look laparoscopy and images of the localization of the previously-inserted mesh during vaginal surgery on a young patient with uterine and vaginal prolapse after delivery and failed laparoscopical sacrohysteropexy. The video shows how to deal with some of the recurrent cases which are a feature of daily praxis in many urogynecological units.

We believe that detailed examination provides us with important information for providing correctly tailored reoperation for prolapse as successful and uncomplicated surgery.

Keywords

• laparoscopic sacrohysteropexy
• pelvic floor defect
• uterine prolapse
• failed surgery
• vaginal mesh