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