The endoscopic or abdominal route guarantees a secure, long-term fixation of the central compartment and also stabilisation of level I and II defects while maintaining the physiological axis of the vagina.

The PexieFix^® guide instrument enables fast, simple retroperitoneal placement of the mesh interposition previously affixed to the vaginal stump or cervix, without the entire peritoneum from the Os sacrum to the vaginal stump/cervix having to be opened and then closed with sutures.

This minimally invasive, retroperitoneal fixation technique using PexieFix^® thus saves time, reduces the amount of suture material used and does not require any special additional trocars.

The time needed for surgery is reduced by approx. 30 min due to the minimally invasive intervention with the PexieFix^® instrument.

The visceral peritoneum can be tunnelled safely in a tissue-conserving manner. Bleeding and any necessary coagulation of blood vessels are avoided. The sigmoid colon, ureter and iliac vessels are shown under visual control and can thus be protected from unwanted perforation. The hypogastric nerve and the sacral vessels are protected by the surgical method with the PexieFix^®.

All the known benefits of laparoscopic descensus surgery, such as low blood loss, reduced postoperative morbidity, short hospitalisation and convalescence times are successfully supported by PexieFix^®.

PexieFix^® – in the hands of an experienced surgeon, it is an elegant addition to minimally invasive descensus surgery.