We present a new surgery based on the round ligament anatomy called laparoscopic abdominopexy, which uses a synthetic mesh without fixation at any pelvic point. This study aims to provide a step-by-step description of the laparoscopic abdominopexy technique and present the first anatomical and functional results of the procedure. However, the technical difficulty in exposing the anterior vertebral ligament, due to nearby vascular structures, promontory exostosis or intestinal adhesions, lengthens the surgical time. In addition, although complications are not frequent, they are important and include intraoperative haemorrhage, promontory osteomyelitis, ureteral injury, or constipation.
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