2025 AUGS Clinical Meeting-Strengthening Your Vaginal POP Repairs: Current Options for Graft & Mesh Augmentation

Strengthening Your Vaginal POP Repairs: Current Options for Graft & Mesh Augmentation

Video Transcription

Video Summary

The discussion focuses on the challenges and techniques related to vaginal prolapse repair, highlighting the transition from standardized mesh kits to more individualized, DIY approaches. The speaker shares insights into the intricacies of using grafts and mesh for pelvic organ prolapse, emphasizing the importance of anchoring repairs to the apex for effective outcomes, which has been supported by research. Due to the absence of traditional mesh kits, there's a move back to crafting customized trapezoidal mesh and grafts. The conversation covers the benefits of using acellular cadaveric dermis and highlights variations in patient responses to mesh versus bio-grafts. The audience is advised to consider patient-specific factors, proper tensioning, and to remain aware of the nuances involved in these procedures. Additionally, the evolution of surgical techniques, such as using bio-grafts for apical suspension, is highlighted as a way to create robust support structures in repairs. The importance of managing complications and maintaining a diverse surgical skill set in vaginal procedures is emphasized, offering a more tailored approach to each patient's needs.

Asset Subtitle

Speaker - Roger Goldberg, MD, MPH

Keywords

vaginal prolapse repair

mesh kits

DIY approaches

grafts and mesh

apical suspension

acellular cadaveric dermis

patient-specific factors