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Procedures of robotic sacrohysteropexy. Fixation of the mesh on the anterior (A) and posterior (B) vaginal wall. Positioning and fixation of the mesh at sacral promontory (C-D).
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The arms of the mesh were pulled through the bilateral windows in the broad ligaments and anchored with non-absorbable monofilament sutures to the anterior and posterior vaginal walls (Fig. 1A,B). The anterior and posterior arms of the meshes are then combined and, drawn through the peritoneal tunnel, which was created earlier; the distal end of the mesh is finally fixed without tension to the anterior longitudinal ligament of the sacrum with a non-absorbable suture (Fig. 1C,D).
Retropubic colposuspension. Passage of suture through right Cooper ligament (A) and final view of end result (B).
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The vaginal sutures are then passed through Cooper ligament and tied with an appropriate tension (2 to 4 cm suture bridge between vagina and Cooper ligament) (Fig. 2A,B).