Uterovaginal prolapse is a common problem seen in Indian women affecting women in both young as well as old age. It may also occur in post hysterectomy cases. Laparoscopic pectopexy is a proposed new technique of apical prolapse repair. There are no Indian studies being done on this latest technique till date.
Objective: To present a case series of laparoscopic pectopexy, a new technique of apical prolapse repair in a tertiary centre and assess its afficacy .
Materials and Methods: Twelve patients of apical prolapse either uterovaginal or vault prolapse were included in study. Laparoscopic cervico- or colpopectopexy was done using iliopectineal ligaments on both sides of pelvic side walls. The perioperative and short term results were observed and recorded.
Results: Laparoscopic pectopexy was done in our twelve cases which included 8 uterovaginal and 4 vault prolapse. The mean effective blood loss was less than 10 ml and average operative time was around 96 minutes. There were no intraoperative complications in any of our patients. In no case conversion to laparotomy was neededN. In follow up there were no major gastrointestinal, urinary complications with no de novo cystoceles or recurrence or stress urinary incontinence with excellent patient satisfaction.
Conclusion: Laparoscopic pectopexy is a new technique in a surgeon’s armamentarium that can be used more safely, effectively and easily as compared to sacrocolpopexy in management of apical prolapse.