Modified Laparoscopic Sacrocolpopexy with Kameda Technique for Severe Pelvic Organ Prolapse with Levator Ani Avulsion in Young Woman: An Evidence-Based Case Report

Pelvic organ prolapse (POP) is characterized by the descent of pelvic organs into the vaginal canal, resulting from the weakening of the supportive ligaments and muscles that maintain these structures' position. Sacrocolpopexy is widely considered the gold standard surgical intervention for vaginal prolapse. This case report presents the clinical course of a 35-year-old, previously healthy woman who presented with a protruding vaginal mass for 9 months and subsequently underwent laparoscopic sacrocolpopexy. The primary aim of this evidence-based case report is to systematically compare the surgical outcomes of laparoscopic sacrocolpopexy (LSC) and abdominal sacrocolpopexy (ASC) in the management of pelvic organ prolapse. A systematic search strategy was employed across PubMed, Elsevier, and ProQuest databases using specific keywords aligned with the study objective.Three studies met the inclusion criteria and were critically appraised. The findings indicate that laparoscopic sacrocolpopexy is associated with improved postoperative morbidity and a shorter hospital length of stay compared to abdominal sacrocolpopexy. No significant differences in other clinical outcomes were observed. Furthermore, the modified laparoscopic sacrocolpopexy technique developed by Kameda demonstrated favorable surgical outcomes and prognosis over a 3-year follow-up period, suggesting its potential for routine clinical application. Laparoscopic sacrocolpopexy is associated with reduced postoperative morbidity and a shorter length of hospital stay. Several variations of laparoscopic sacrocolpopexy have been developed to optimize outcomes. Such as the modified laparoscopic sacrocolpopexy technique that demonstrated significant improvements in prolapse symptoms and a reduction in the severity of pelvic organ prolapse.