Melo M G, Botchorishvili R
Facts Views Vis Obgyn. 2022 Dec;14(4):335-337. doi: 10.52054/FVVO.14.4.047.
Laparoscopic surgery for pelvic organ prolapse is a complex procedure, requiring high technical skills and great knowledge of the anatomy to perform a safe dissection and achieve the best clinical and surgical outcomes.
To highlight the anatomical landmarks during dissection in this procedure and give tips for a safer and more effective performance.
Surgical videos of the dissection involved in laparoscopic surgery for pelvic organ prolapse in a stepwise approach.
Identification of the most important anatomical landmarks involved in the dissection of the promontory, the para-rectal space, the recto-vaginal space, and the vesico-vaginal space. Advice for acquiring better exposure and the right cleavage planes. Presentation of some difficult cases during dissection.
Step-by-step overview of the different steps of dissection involved in laparoscopic surgery for pelvic organ prolapse, specifying the most important anatomical landmarks for reference and at risk of damage and presenting tips to correctly perform the dissection.
Besides the great surgical technical skills required, deep knowledge of pelvic anatomy is key for performing laparoscopic surgery for pelvic organ prolapse safely, minimising complications and recurrence and improving quality of life and the overall success of surgery.
盆腔器官脱垂的腹腔镜手术是一个复杂的过程，需要高超的技术和对解剖学的深入了解，以便进行安全的解剖并实现最佳的临床和手术效果。
强调该手术解剖过程中的解剖标志，并提供更安全、更有效操作的技巧。
采用逐步讲解的方式展示盆腔器官脱垂腹腔镜手术解剖过程的手术视频。
识别在岬部、直肠旁间隙、直肠阴道间隙和膀胱阴道间隙解剖中涉及的最重要的解剖标志。获取更好暴露和正确分离平面的建议。展示解剖过程中的一些困难病例。
逐步概述盆腔器官脱垂腹腔镜手术解剖的不同步骤，明确最重要的解剖标志以供参考以及有受损风险的标志，并提供正确进行解剖的技巧。
除了所需的高超手术技术外，对盆腔解剖学的深入了解是安全进行盆腔器官脱垂腹腔镜手术、减少并发症和复发、提高生活质量以及手术总体成功率的关键。
