关键词: 腹腔镜髂耻韧带悬吊术, 盆腔器官脱垂, 网片, 生物相容性材料

Abstract: In the daily life of middle and old aged women, the negative impact of pelvic organ prolapse (POP) is worse and worse, and its incidence is also increasing year by year. Prolapse of uterus or vault caused by pelvic defect is not uncommon in POP. The recurrence rate after operation is closely related to whether the repair is up to the standard. The application of laparoscopy surgery and implantable mesh makes the operation more minimally invasive and biologically reconstructed, reducing the recurrence rate and the incidence of complications. At present, laparoscopic sacrocolpopexy (LSC) or laparoscopic sacrohysteropexy (LSH) has become the gold standard in the treatment of pelvic prolapse, but it is difficult to perform in patients with narrow pelvic space (caused by obesity or adhesions, etc.) and defecation problems (especially constipation) are the most common complications. So many surgeons have improved the procedure by fixing the mesh to the top of the sacral promontory. However, the fixation of this site led to a change in the direction of the abdominal wall. Laparoscopic pectopexy has high subjective satisfaction and low recurrence rate. It can restore the physiological and anatomical structure of the pelvic floor and has good clinical effect.

Key words: Laparoscopic pectopexy, Pelvic organ prolapse, Mesh, Biocompatible materials