Fellows Webinar: Updates in Uterine-Preserving Surgery (On-Demand)-April26FellowWebinarVideo

Video Transcription

Video Summary

The video content focuses on uterine preserving surgery for uterovaginal prolapse, specifically sacrospinous and uterosacral hysteropexy techniques. Dr. Lucille Ferrando discusses patient selection, surgical techniques, outcomes, and potential complications associated with these procedures. She emphasizes the importance of considering patient goals and addressing any misconceptions about the role of the uterus in pelvic organ prolapse. The video provides a comprehensive overview of the surgical techniques involved, including the placement of sutures in the sacrospinous ligament and the similarities between uterosacral hysteropexy and uterosacral ligament suspension with concurrent hysterectomy. Dr. Ferrando reviews studies showing favorable outcomes in terms of anatomical recurrence, bothersome vault symptoms, and the need for repeat surgery. She also discusses potential complications, such as vascular injuries, rectal injuries, infections, and nerve entrapment, and provides recommendations for their management. The speaker mentions the increasing popularity of uterosacral hysteropexy and the need for more research on long-term efficacy and comparisons between different hysteropexy techniques. The video highlights the importance of patient-centered care and would be valuable for clinicians and researchers interested in uterine preserving surgery for pelvic organ prolapse. No specific credits were mentioned in the summary.

Keywords

uterine preserving surgery

uterovaginal prolapse

sacrospinous hysteropexy

uterosacral hysteropexy

patient selection

surgical techniques

outcomes

complications

pelvic organ prolapse

sutures placement

anatomical recurrence