AUGS/IUGA Scientific Meeting 2019-Abdominal Sacral Colpopexy - Is it Time to Redefine the Minimally Invasive Technique?

Abdominal Sacral Colpopexy - Is it Time to Redefine the Minimally Invasive Technique?

Video Transcription

Video Summary

In this video, the speaker discusses minimally invasive surgery for pelvic organ prolapse, highlighting its benefits such as improved patient satisfaction, decreased hospital stay, and decreased opioid use. The current gold standard treatment is the abdominal sacral colpoperineopexy. The video explains the crystal incision used in the procedure, along with the use of self-retracting retractors and the Alexis Wound Retractor for optimal retraction. The process of hysterectomy and the use of polypropylene mesh to attach to the cervical stump are described. The video also mentions the attachment of the mesh to the sacrum using the PROTAC stapler and the closure of the abdomen. Post-surgery, patients can resume regular diet and are encouraged to walk within 8 hours. A voiding trial is conducted, and stable patients can be discharged on post-op day 1.

Asset Caption

Michael White, PhD, MD

Keywords

minimally invasive surgery

pelvic organ prolapse

patient satisfaction

abdominal sacral colpoperineopexy

polypropylene mesh