Laparoscopic lateral suspension is an alternative surgical method when there is difficulty in dissection of the promontory of the sacrum due to abnormal vasculature in laparoscopic sacrocolpopexy: A case report

Laparoscopic sacrocolpopexy (LSC) is becoming a popular surgical method for patients with pelvic organ prolapse. It associated lower rate of recurrence and higher patient satisfaction. Dissecting the peritoneum on promontory sacrum to expose anterior longitudinal ligament an essential part this surgery. However, there are some cases in which we cannot perform procedure due anatomical anomalies. lateral suspension (LLS) another involves anchoring mesh, without exposing at sacrum. LSC was planned 74-year-old woman (gravida 2, para 2) stage III Preoperative magnetic resonance imaging showed that her right common iliac artery ran front sacrum, it considered difficult ligament. The changed from LLS barbed suture posterior colporrhaphy using V-Loc. operation time 5 hours 37 minutes; little blood loss. She had uneventful postoperative course no nine months after can be effective alternative when dissect LSC.