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Laparoscopic Hysteropexy

Prolapse repair surgery is a laparoscopic procedure performed in order to correct prolapse of the uterus and vagina. It is a condition, which occurs when the connective tissues surrounding pelvic organs fail to hold them in their natural orientation. The connective muscles become weak with age, weight gain, childbirth or strenuous physical labor.  Women experiencing prolapse might suffer from a sensation of weakness or bulge, discomfort, urinary or bowel problems, pelvic pain or pressure, vaginal ulceration and sexual dysfunction. 

Hysteropexy involves a lifting up and reinforcing the support structures of a uterus.  It involves wrapping a mesh around the neck of the womb (the cervix) and fixing this to a strong structure in the body. The uterus may be fixed to the top of the lower back bone(sacrum) or to a ligament on the pubic bone.

It is chosen by those women who prefer not have their uterus removed. As the surgical cutting involved in hysterectomy is avoided the recovery is quicker with return to daily activities sooner than is normally the case with hysterectomy and repair.

This surgery is done using a laparoscope, which is a slender, fiber-optic tube equipped with a miniature camera, lights and surgical instruments inserted through few small cuts ranging from 5mm to 1 cm in length in the abdominal wall. After a small incision is made in or above the belly button, carbon dioxide gas is introduced to distend the abdomen. Laparoscope is put in and additional smaller cuts are made under vision to introduce surgical instruments. A mesh is used to attach the uterus to  the top of the sacrum with non absorbable sutures. 

Advantages of Laparoscopic hysteropexy over open surgery for prolpase.

  • Lesser Blood Loss
  • Lower Post Operative pain
  • Shorter Stay at Hospital.
  • Lesser abdominal wall infections 
  • Fast Recovery from surgery wounds.
  • Less chances of incisional hernia
  • Better cosmetically as small scars

This is an advanced surgery that requires a surgeon with expertise in laparoscopic surgery and is available at select hospitals only including ours. Please note that Laparoscopic surgery does not mean it is a minor surgery.

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