2013 Annual Meeting-Robotic-Assisted Paravaginal Repair

Video Transcription

Video Summary

This video discusses the robotic-assisted retropubic paravaginal defect repair technique. The procedure was first described by George R. White in 1912 and later popularized by Drs. Cullen Richardson and Bobby Scholl in the 1980s and 1990s. Paravaginal repair provides long-term support to the anterior compartment, with success rates ranging from 92 to 97% for up to 8 years post-operatively. The procedure involves closing the defect while avoiding the bladder and the obturator neurovascular bundle. The space of rhetsia is entered, and the dissection is carried out on both sides. Multiple sutures are used to close the defect, and additional procedures can be added if stress urinary incontinence is present. The procedure has shown positive results and is considered a non-mesh-based alternative for selected patients with anterior compartment prolapse. No complications have been encountered, with patients passing voiding trials successfully.

Meta Tag

Category surgical video

Category prolapse-robotic

Category robotic

Category surgery

Category Minimally Invasive Procedures

Category PFD Week 2013

Session 182192

Keywords

robotic-assisted retropubic paravaginal defect repair

George R. White

Cullen Richardson