About Video

This video presents a case of 30-years-old female married for 3 years she complaints the third degree prolapse uterus. Preoperative diagnosis: grade III uterovaginal prolapse with decubitus ulcer. Port placement: patient laid in modified lithotomy position under GA. Four ports laparoscopy done, all 5 mm ports except camera port which is 10 mm. Surgical procedure: A Mersilene tape repair was carried out to repair the massive prolapse uterus. Firstly, the peritoneum over the sacral promontory is opened with harmonic ACE. Then uterovesical fold of peritoneum is opened with harmonic ACE, it is extended bilaterally to expose anterior cervical isthmus and bilateral uterine vessels. Mersilene tape, NW 22, 48 mm ½ circle round body double needle (Ethicon) introduced in the abdomen. Both the needles are passed at the level of internal OS, from anterior to posterior just medial to the uterine artery on the right and left side. Both the needles are separately made to take a bite an sacral promontory and the knot is tied by both arms of the mersilene tape. Peritoneum closed over this tape. Anteriorly also the uterovesical peritoneum closed using vicryl 1-0 in continuous manner. A very simple and complete correction is achieved.