Concurrent pelvic reconstruction and minimally invasive pelvic cancer surgery

Introduction and hypothesis We present our experience in performing concurrent prolpase repair at the time of gynecologic cancer surgery. Methods The uterosacral ligaments are tagged before performing hysterectomy and pelvic dissection. The uterosacral ligament suspensory sutures are then placed laparoscopically after completion of pelvic cancer surgery. The remainder of the prolapse surgery is performed through a transvaginal approach. Results Many of our patients who undergo concurrent prolapse repair and gynecolgical cancer surgery receive chemotherapy and pelivc radiation. Concuurent prolapse repair improves their prolaspe symptoms. Conclusion Concurrent prolapse repair should be performed at the same time as gynecologic cancer surgery.