caa a22 4500 44531012X CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1687-7 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1687-7 Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients [Elektronische Daten] [Carolin Banerjee, Karl Noé] Purpose: Obesity is a chronic disease which affects a substantial number of patients. It also increases a person's risk of genital prolapse. Conventional techniques of prolapse repair (sacropexy, transvaginal meshes and sacrospinal fixation) are used in very adipose women, but the effectiveness of this technique is sometimes restricted due to the difficultly of performing the surgery. Method: Here we will describe a new method of endoscopic prolapse surgery, which is especially developed for obese patients. The lateral parts of the iliopectineal ligament are used for a bilateral mesh fixation of the descended structures. We have already used this method successfully in 12 patients without any complications. Result and conclusion: This method provides a stable and durable repair. The laparoscopic access reduces morbidity. The operation time for this procedure is approximately 50min. Springer-Verlag, 2010 Genital prolapse nationallicence Obeseness nationallicence Mesh nationallicence Laparoscopy nationallicence Descensus surgery nationallicence Banerjee Carolin Hospital Dormagen, Teaching Hospital of the University of Cologne, Dr. Geldmacherstr. 20, 41539, Dormagen, Germany aut Noé Karl Hospital Dormagen, Teaching Hospital of the University of Cologne, Dr. Geldmacherstr. 20, 41539, Dormagen, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 631-635 0932-0067 284:3<631 2011 284 404 https://doi.org/10.1007/s00404-010-1687-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1687-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Banerjee Carolin Hospital Dormagen, Teaching Hospital of the University of Cologne, Dr. Geldmacherstr. 20, 41539, Dormagen, Germany aut NATIONALLICENCE 700 1- Noé Karl Hospital Dormagen, Teaching Hospital of the University of Cologne, Dr. Geldmacherstr. 20, 41539, Dormagen, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 631-635 0932-0067 284:3<631 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer