Common to all our four patients was a history of surgically treated deep infiltrating endometriosis in lateral pelvic sidewalls affecting ureters, sacrouterine
ligaments, and pelvic nerves.
Available adhesions in sacrouterine
ligaments with neighboring organs were revealed in 53.39% cases.
Various surgical techniques for prolapse surgery using laparotomy, laparoscopy, and vaginal surgery, including colporrhaphy (with or without mesh placement), sacrospinous ligament fixation, abdominal sacrocolpopexy (ASC), high sacrouterine
ligament fixation, and colpocleisis have been used.5
lateral and posterior portions of the parametrium with sacrouterine
From outside the vaginal wall, in the posterolateral deep vaginal wall (inside the peritoneum), I incorporate the origin of the sacrouterine
ligament and one arm of the mesh in the groove between the colon and levator ani, 15 cm from the introitus.
During the laparoscopic exploration a suspicious dense adhesion between the left sacrouterine
ligament and the sigmoid colon was observed (Fig.1b).