Modified Gilliam uterine suspension using laparoscopic visualization.

In recent years, uterine suspension has become in infrequent operation on most gynecologic services. While numerous types of suspensions have been described, the round ligament fixation to the rectus sheath described by Gilliam is commonly employed because of its ease, effectiveness, and low complication rate. Laparoscopic visualization of the pelvic organs can allow this type of suspension, requiring only superficial incisions down to the rectus fascia, and thereby markedly reducing the procedure's morbidity and the patient's hospitalization.