Abstract:

This paper reports a case of "Y" reticulosacral fixation of uterus by transumbilical single hole laparoscopy. After the completion of intravenous general anesthesia, the cystolithotomy position was taken and the sterile paving towel was laid. The operation was completed by transvaginal cervical partial amputation and transumbilical single-hole laparoscopic hysterosacral fixation, with the operation time of 300 min and bleeding of 50 mL. The patients had no intraoperative complications, and the postoperative follow-up time was 1 year. Subjective healing was achieved. The total score of pelvic floor distress inventory short form 20 was 0.79 before surgery, 0.17 6 months after surgery, and 0.17 1 year after surgery. Single-arch laparoscopic uterine "Y" net sacral fixation surgery feasibility is high, less trauma, pain is lighter, and security is more ideal. It is compared traditional laparoscopy or laparotomy with a strong advantage, not only retaining the uterus at the same time, but also reducing the risk of exposure to mesh, providing a new way of treatment for patients and the scientific basis for the related research and development.

Key words: Laparoscopy, Pelvic organ prolapse, Uterine prolapse, Single port laparoscopy, Mesh, Pelvic floor reconstruction, Hysterosacral fixation