Fig. 61.1
Uterine prolapse with cystocele
Fig. 61.2
Patient placed in modified lithotomy position
Fig. 61.3
Ports position
Fig. 61.4
Deaver retractor placed vaginally helps to angulate the fornix
Fig. 61.5
Initial view of pelvis
Fig. 61.6
Endo view showing the Deaver retractor helping to angulate the fornix
Fig. 61.7
Uterus is suspended anteriorly
Fig. 61.8
Incision of peritoneum over sacral promontory
Fig. 61.9
Peritoneal incision extended inferiorly up to pelvic floor
Fig. 61.10
Dissection along right levator ani
Fig. 61.11
Pararectal dissection completed on both sides
Fig. 61.12
Suture through right levator ani
Fig. 61.13
One limb of mesh fixed to right levator ani using 2-0 prolene suture