This nerve-sparing laparoscopic sacral colpopexy is performed in combination of the BiClamp® LAP with the VIO® 3 thermoSEAL mode and a monopolar scissor with the VIO® 3 preciseSECT mode make a fast, precise and hemostatic surgery possible.
Please watch the following steps:
- Sacral promontory dissection
- Recto-vaginal space dissection
- Supracervical hysterectomy – right side dissection
- Vesico-vaginal space dissection
- Transection of the right round and ovarian ligament
- Isolation of uterine predicle
- Vessel sealing of the arteria uterina
- Supracervical hysterectomy – left side dissection
- Transection of the left round and ovarian ligament
- Supracervical incision
- Vesico-vaginal space to retrotrigonal region dissection
- Posterior mesh placement
- Closing of the posterior peritoneal pouch
- Anterior mesh placement
- Promontory mesh fixation
- Closing of the right peritoneal pouch