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Cleveland Clinic Urologist Performs First Repair Of Vaginal Prolapse Via Single Umbilical Incision
CLEVELAND, October 2007 — Dr. Jihad H. Kaouk, director of Robotic Urologic Surgery at Glickman Urological and Kidney Institute of Cleveland Clinic performed the first laparoscopic sacrocolpopexy through a single “belly button” incision. “This procedure requires usually 3 to 4 ports to perform laparoscopically because of the tissue dissection and suturing involved, however our new approach allows us to perform the entire procedure through one incision in the belly button” said Dr. Kaouk. Using Autonomy Laparo-Angle Instrumentation made it possible to accomplish the suturing and knot-tying needed through a single port. “Autonomy” enables development of “scar-less” surgeries, and the single port laparoscopic sacrocolpopexy is a great example of this enabling power.” In addition to this procedure, Dr. Kaouk has performed a number of other urologic and uro-gynecologic single port procedures utilizing Autonomy™.

Autonomy™ Laparo-Angle™ Instruments from Cambridge Endo feature fully articulating tips that enable access to difficult areas with optimal positioning and control. The instruments map, in exact proportion, the motion of the hand holding the instrument. This enables simultaneous actions, such as articulating downward while rotating, which enable dissecting and suturing in tight spaces. “These devices make single- port surgery viable, even in the most complex cases. Making sacrocolpopexy and other similar procedures less invasive and virtually scar-less is a great benefit to patients,” said Dr. Kaouk.

Vaginal vault prolapse is a collapse of the vagina. The top of the vagina falls in on itself as the pelvic floor muscles lose strength following a hysterectomy One out of nine women in the United States will have a hysterectomy, and about 10 percent of them will develop vaginal vault prolapse. A laparoscopic approach enables a shorter hospitalization, shorter recovery period, less pain, and no abdominal scarring.

Jihad Kaouk, MD is associate professor and director of Robotic Urologic Surgery at Glickman Urological and Kidney Institute at the Cleveland Clinic. He earned his MD at the American University of Beirut School of Medicine, and completed his urology training at the American University of Beirut Medical Center and then the Cleveland Clinic before joining its faculty in the urological institute and transplantation center.

Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit multispecialty academic medical center that integrates clinical and hospital care with research and education. U.S. News & World Report consistentlya names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Cleveland Clinic’s Web site address is

Cambridge Endo is developing and delivering revolutionary hand-held instruments that advance least invasive surgery. In addition to its current product line, Cambridge Endo is committed to providing support and training for all their products. Surgeons can learn more about Cambridge Endo and this line of enabling technology at key surgical conventions in the US or visit the company’s website at or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Cambridge Endo is headquartered in Framingham, MA.