Editorial board editor-in-chief

lAPAROSCOPIC COlPOPExY TECHNIquE PERFORmED
wITH lAPAROSCOPIC SuPRACERVICAl HYSTERECTOmY,
TOTAl lAPAROSCOPIC HYSTERECTOmY, AND FOllOwING 
TOTAl AbDOmINAl HYSTERECTOmY
k
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tangel
-w
óJcikiewicz
1
, a
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w
oJtyś
1
, M
onikA
P
iwowAr
2,
M
ałgorzata
M
igdał
1
, a
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M
aria
P
oPławska
3
1
Department of Gynecology and Oncology, Jagiellonian University Medical College of Kraków, 
23 Kopernika Str., 31-501 Kraków, Poland 
2
Department of Bioinformatics and Telemedicine, Jagiellonian University Medical College of Kraków, 
16 Św. Łazarza Str., 31-530 Kraków, Poland
 
3
Jagiellonian University Medical College, Faculty of Medicine
, 12 Św. Anny Str., Kraków, Poland
Abstract:
Study objective: Our purpose was to assess a modiication of laparoscopic colpopexy technique.
Design
:
Retrospective case analysis 
Setting
:
University teaching hospital
Patients
:
A total of 28 patients with stage I, II and III organ prolapse.
Interventions
:
The rectovaginal space was dissected at the superior aspect of the posterior vaginal fascia and a mesh was 
sutured to this fascia 
Measurements and Main Results
:
28 patients completed a 36 months follow-up. No recurrences of the vagina vault prolapse 
was observed. Three cases of abdominal pain at the level of the trocars placing were recorded in a irst week after surgery. Two 
of these were found in the group of LSH and one in the group of a hysterectomy history. There was no signiicant difference in 
blood loss, length of hospital stay and surgical or postoperative complications.
Conclusion
:
The modiication of laparoscopic colpopexy, although technically challenging, may be learned quickly. It shows 
rapid improvement in operative time without subjecting the patient to undue risk. Further studies are required to determine the 
long-term tolerance and outcome of the procedure.