AUGS/IUGA Scientific Meeting 2019-Fascia Lata Graft Harvest & Pubovaginal Sling

Video Transcription

Video Summary

The video presents a technique for a minimally invasive fascia lata graft harvest and pubovaginal sling procedure. The patient is a 56-year-old woman with recurrent stress urinary incontinence. She had previously undergone a trans-obturator sling and a synthetic midurethral sling, both of which failed. Due to concerns about her rectus fascia quality, a fascia lata graft was used instead. The video demonstrates the steps involved in harvesting the fascia lata graft, including patient positioning, marking the incision site, dissection, and measuring the graft. The graft is then excised, hemostasis is achieved, and the incision is closed. The video also shows the vaginal portion of the case for standard placement of the pubovaginal sling, including creating periurethral pockets, penetrating the retropubic space, and appropriately tensioning the anchoring sutures. The patient had an uncomplicated hospital course and was discharged with minimal pain requirements. The technique of fascia lata harvest and pubovaginal sling is suggested to provide a shorter recovery time compared to a traditional rectus fascial graft. No credits were mentioned in the video.

Asset Caption

Emily RW Davidson, MD

Keywords

minimally invasive

fascia lata graft

pubovaginal sling procedure

stress urinary incontinence

harvesting technique