2009 Annual Meeting-Technique for Management Cervical Dysplasia Necessitating Trachelectomy After Supracervical Hysterectomy and Sacral Colpopexy

Technique for Management Cervical Dysplasia Necessitating Trachelectomy After Supracervical Hysterectomy and Sacral Colpopexy

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Video Transcription

Video Summary

This video demonstrates the surgical management of high-grade cervical dysplasia in a patient who had previously undergone a sacral colpopexy for advanced stage colonoscopy. The procedure, performed at the University of California, Los Angeles, involved a minimally invasive robotic-assisted trachelectomy with re-approximation of the colpopexy mesh. Adhesions between the bowel and the cervix were noted during the procedure, requiring careful dissection. The cervix was excised and the vaginal cuff closed using intracorporeal knot tying. The video highlights the challenges and considerations involved in performing a trachelectomy after sacral colpopexy. The patient had a successful outcome. Special thanks are given to Drs. Tarnay, Karam, and the Department of OBGYN.

Keywords

surgical management

high-grade cervical dysplasia

sacral colpopexy

minimally invasive robotic-assisted trachelectomy

colpopexy mesh