AUGS/IUGA Scientific Meeting 2019-Surgical Management of Persistent Peri-Umbilical Pain Following Sacrocolpopexy

Surgical Management of Persistent Peri-Umbilical Pain Following Sacrocolpopexy

Video Transcription

Video Summary

The video discusses three patients who underwent sacrocopalpexy surgery at outside institutions and experienced persistent peri-umbilical pain. All three patients presented with pain over the sacral promontory. The first patient, a 62-year-old, underwent mesh revision surgery to release tension and create a new mesh bridge, resulting in significant improvement in vaginal apex mobility and relief of tension. The second patient, a 45-year-old, had the mesh carefully dissected and divided to release tension, without inserting a mesh bridge. The third patient, a 39-year-old, also underwent mesh revision surgery with similar results. Excessive mesh tension was determined to be the cause of peri-umbilical pain in these cases.

Asset Caption

Jacqueline Y Kikuchi, MD

Keywords

sacrocopalpexy surgery

peri-umbilical pain

mesh revision surgery

vaginal apex mobility

excessive mesh tension