Concurrent pelvic reconstruction and minimally invasive pelvic cancer surgery

Abstract

Introduction and hypothesis: We present our experience in performing concurrent prolpase repair at the time of gynecologic cancer surgery.

Methods: The uterosacral ligaments are tagged before performing hysterectomy and pelvic dissection. The uterosacral ligament suspensory sutures are then placed laparoscopically after completion of pelvic cancer surgery. The remainder of the prolapse surgery is performed through a transvaginal approach.

Results: Many of our patients who undergo concurrent prolapse repair and gynecolgical cancer surgery receive chemotherapy and pelivc radiation. Concuurent prolapse repair improves their prolaspe symptoms.

Conclusion: Concurrent prolapse repair should be performed at the same time as gynecologic cancer surgery.

Keywords: Pelvic organ prolapse; Surgery; Uterine cancer.