Surgical technique
For the laparoscopic sacrocolpopexy procedure, after vaginal or
laparoscopic hysterectomy was performed, the anterior vaginal wall was
dissected up to the bladder neck, and the posterior vaginal wall was
dissected up to the distal levator ani muscle level. The sacral
promontory was identified and the overlying peritoneum was opened up to
the vaginal cuff laterally to the rectum and medially to the right
uterosacral ligament. A Y-shaped, 15 cm-long, 3 cm-width type 1
polypropylene mesh was transfixed to the anterior and posterior vaginal
walls with a 4-6 polyglactin suture in each wall. The free arm of the Y
mesh was fixated to the anterior longitudinal ligament of the sacrum
with two separate no. 1 polypropylene sutures. The mesh was then
peritonealized with absorbable interrupted extracorporeal sutures.