Total laparoscopic multi-compartment reconstruction via single-port lateral suspension: a novel mesh configuration based on the integral theory

This video article demonstrates a novel single-port laparoscopic lateral suspension (LLS) technique for concurrently correcting anterior, middle, and posterior pelvic organ prolapse (POP). The method utilizes a tailored mesh with fixation to Denonvilliers fascia to enhance posterior support, addressing a key limitation of traditional LLS. Compared to transvaginal mesh, this approach aims to reduce complication rates while offering a shorter learning curve for surgeons proficient in laparoscopy. We present the case of a 72-year-old woman with stage IV POP who underwent the procedure, which involved precise dissection to key anatomical landmarks and the creation of a peritoneal tunnel for mesh suspension. The conclusion is that this technique achieves comprehensive multi-compartment reconstruction with enhanced posterior support and preserved vaginal integrity, presenting a viable alternative to existing surgical options.