Biomechanical interests of supra-cervical hysterectomy with sacrocolpopexy: first study using finite element modeling

Abstract

International audienceLaparoscopic sacrocolpopexy (LSC) is a common surgery performed for pelvic organ prolapse (POP). Hysterectomy can be associated with this procedure, but its usefulness is debated (longer surgical time, more perioperative blood loss, higher risk for mesh exposure, probably less prolapse recurrence, no evidence for the sexual benefit). The finite element method (FEM), which is a numerical method for solving<br&gtbiomechanical and biomedical problems, has been used to study POP. Finite element simulations have been performed to compare sacrocolpopexy with and without supra-cervical hysterectomy for POP to test the hypothesis that hysterectomy could reduce the stress and strain of mechanical fields on pelvic organs and on apical supporting ligaments