LAPAROSCOPY ASSISTED ABDOMINAL COLPOPEXY: (PROPOSED) GOKHALE TECHNIQUE: NOVEL AND SIMPLE TECHNIQUE FOR PREVENTION AND TREATMENT OF VAULT PROLAPSE : A SURGICAL TECHNIQUE Dr Asha Niranjan Gokhale Department of Obstetrics & Gynecology , Deenanath Mangesh

The gold standard technique for treatment of vault prolapse is a laparoscopic sacro colpopexy, which requires advanced surgical skill in endoscopy. We present a new surgical technique for treatment of vault prolapse namely “laparoscopic assisted abdominal colpopexy “. This technique involves skills of a vaginal surgery and basic skill of laparoscopy to give an option for treatment of vault prolapse at lesser equipped centers. Technique involves suspension of vaginal vault by fixing mersilene tape vaginally and guiding It under laparoscopic vision extraperitoneally to anchor it to inturned part of inguinal ligament near the anterior superior ischial spine.