New Laparoscopic Technique of Hysteropexy for Uterine Retrodisplacement: Bologna Technique

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• 作者：Renato Seracchioli ; Prof ; MD ; ^{renato.seracchioli@aosp.bo.it" class="auth_mail" title="E-mail the corresponding author} ; Margherita Zanello ; MD ; Alessandro Arena ; MD ; Claudia Costantino ; MD ; Elisa Moro ; MD ; Letizia Zannoni ; MD ; Diego Raimondo ; MD
• 关键词：Hysteropexy ; Laparoscopy ; Uterine retrodisplacement
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：23
• 期：5
• 页码：675
• 全文大小：383 K

文摘

To show a new laparoscopic technique of hysteropexy for uterine retrodisplacement (retroversion and/or retroflexion).

Design

Narrated step-by-step explanation of the Bologna hysteropexy technique using descriptive text and an educational video.

Setting

Tertiary referred center of minimally invasive gynecology, Sant'Orsola Hospital, Bologna University.

Interventions

The Bologna hysteropexy is proposed as an additional procedure after surgical laparoscopic interventions for benign gynecologic disease. The technique consists of 2 semicontinuous absorbable sutures (Biosyn monofilament no. 1 [Covidien, Mansfield, MA] with 2/3 inch diameter needle, 36 mm) suspending the uterus to the anterior abdominal wall, through the plication and shortening of round ligaments. A knot is tied intracorporeally between the 2 free ends of the semicontinuous sutures, drawing a V shape figure and resulting in uterine ventrosuspension.

Conclusion

The Bologna technique hysteropexy is simple and quick to perform. It is effective in suspending the uterus in anteverted and anteflexed positions at 6-month ultrasound follow-up. No perioperative complications were recorded. It can be done with a standard surgical suture-passer and does not add additional cost to surgery. Furthermore, an absorbable suture is desirable for fertile women.