{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T11:23:38Z","timestamp":1767612218195,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose\/objective<\/jats:title>\n                <jats:p>Laparoscopic sacrocolpopexy has been demonstrated to be the gold standard of prolapse surgery in cases with apical defect. Most recurrences seem to occur in the anterior compartment, especially if a paravaginal defect is present. To reduce the incidence of anterior recurrence after laparoscopic sacrocolpopexy we modified our previous published technique by placing the anterior mesh not only deep under the bladder but also laterally and fixing it to the lateral edge of the vagina. With this video article, we would like to show and explain our modified technique and demonstrate how lateral mesh placement can be easily and safely performed using laparoscopy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The video demonstrates our modified technique with lateral extension and fixation of the anterior mesh to the lateral vagina during laparoscopic sacrocolpopexy in a patient with severe uterine prolapse (grade III) and a large cystocele (grade III). Special emphasis is given to the topographical anatomy of the paravaginal space and the surgical technique of lateral fixation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>This modified new technique shows excellent perioperative results in more than 100 cases without any occurrences of lesions of the ureters. Our initial experience also shows very good anatomical results in all three compartments.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Paravaginal dissection and exposure of the ureters to extend the mesh placement and fixation to the lateral border of the vagina in the anterior compartment during laparoscopic sacrocolpopexy seem to be feasible and safe, helping to significantly reduce the risk of anterior recurrences. Prospective data are needed to evaluate this interesting technique.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00192-022-05338-8","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T18:21:53Z","timestamp":1662747713000},"page":"305-308","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lateral extension and attachment of mesh to the lateral vagina during laparoscopic sacrocolpopexy: a modified technique aimed at lowering recurrences in the anterior vaginal compartment. A surgical video"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6442-0985","authenticated-orcid":false,"given":"E.","family":"Bousouni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Sarlos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"issue":"360","key":"5338_CR1","first-page":"e1","volume":"204","author":"CF Maher","year":"2011","unstructured":"Maher CF, Feiner B, DeCuyper EM, Nichlos CJ, Hickey KV, O\u2019Rourke P. Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol. 2011;204(360):e1\u20137.","journal-title":"Am J Obstet Gynecol"},{"key":"5338_CR2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.ejogrb.2016.07.503","volume":"205","author":"E Costantini","year":"2016","unstructured":"Costantini E, Brubaker L, Cervigni M, et al. Sacrocolpopexy for pelvic organ prolapse: evidence-based review and recommendations. Eur J Obstet Gynecol Reprod Biol. 2016;205:60\u20135.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"5338_CR3","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1007\/s00192-014-2369-y","volume":"25","author":"D Sarlos","year":"2014","unstructured":"Sarlos D, Kots L, Ryu G, Schaer G. Long term follow-up of laparoscopic sacrocolpopexy. Int Urogynecol J. 2014;25:1207\u201312.","journal-title":"Int Urogynecol J"},{"key":"5338_CR4","doi-asserted-by":"publisher","first-page":"824.e1","DOI":"10.1016\/j.ajog.2014.12.005","volume":"212","author":"D Sarlos","year":"2015","unstructured":"Sarlos D, Aigmueller T, Magg H, Schaer GN. Laparoscopic sacrocolpopexy demonstration of a nerve-sparing technique. Am J Obstet Gynecol. 2015;212:824.e1\u2013824.e3.","journal-title":"Am J Obstet Gynecol"},{"key":"5338_CR5","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.1007\/s00192-008-0657-0","volume":"19","author":"D Sarlos","year":"2008","unstructured":"Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome\u2014a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1415\u201322.","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"5338_CR6","doi-asserted-by":"publisher","first-page":"1377","DOI":"10.1007\/s00192-019-03940-x","volume":"30","author":"GN Schaer","year":"2019","unstructured":"Schaer GN, Sarlos D, Khan Z. A multipurpose uterine\/vaginal manipulator for laparoscopic urogynecologic procedures. J Int Urogynecol. 2019;30:1377\u20139.","journal-title":"J Int Urogynecol"},{"key":"5338_CR7","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.ejogrb.2010.05.009","volume":"152","author":"T Shiozawa","year":"2010","unstructured":"Shiozawa T, Huebner M, Hirt B, Wallwiener D, Reisenauer C. Nerve-preserving sacrocolpopexy: anatomical study and surgical approach. Eur J Obstet Gynecol Reprod Biol. 2010;152:103\u20137.","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-022-05338-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-022-05338-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-022-05338-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T13:04:46Z","timestamp":1673442286000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-022-05338-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,9]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["5338"],"URL":"https:\/\/doi.org\/10.1007\/s00192-022-05338-8","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"type":"print","value":"0937-3462"},{"type":"electronic","value":"1433-3023"}],"subject":[],"published":{"date-parts":[[2022,9,9]]},"assertion":[{"value":"4 April 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for publication of this video article and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}