Fibrin sealant-enhanced single-port LLS with cervical preservation and "homemade" mesh: an innovative surgical technique for pelvic organ prolapse.

Pelvic organ prolapse (POP) is a common condition that significantly impacts patients' quality of life, with a notably high incidence among postmenopausal women. While laparoscopic sacrocolpopexy remains the gold standard for surgical management, laparoscopic lateral suspension (LLS) has gained increasing attention as an effective alternative, offering comparable outcomes and distinct advantages. This study presents a novel single-port LLS technique performed on a 69-year-old patient with stage II POP. The procedure incorporates three key innovations: (I) preservation of the cervix to maintain core pelvic support structures; (II) utilization of a cost-effective "homemade" mesh during surgery, reducing material costs by 66% compared to commercial alternatives; and (III) application of porcine fibrin sealant for effective intraoperative hemostasis. The total operative time was 150 minutes with an estimated blood loss of 50 mL, the patient recovered well after surgery. The technique achieved excellent anatomical restoration, with the POP-Q point C measurement improving from 0 preoperatively to -6 postoperatively, while leaving only minimal scarring for superior cosmetic outcomes. A complete surgical video accompanies this report to visually demonstrate the technical details. This study confirms that single-port LLS with cervical preservation represents a safe, cost-effective, and cosmetically superior option for pelvic floor reconstruction, providing clinicians with a valuable new treatment alternative.