PFD Week 2016-A Novel Approach to Sacral Fixation During Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy For Uterovaginal Prolapse

A Novel Approach to Sacral Fixation During Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy For Uterovaginal Prolapse

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Video Transcription

Video Summary

The video demonstrates a novel technique for sacroservicopexy using a transcervical approach to sacral fixation. The procedure involves performing a supracervical hysterectomy and creating an access port for sacroservicopexy through transcervical coring. A lightweight polypropylene mesh is inserted through the port and placed anteriorly and posteriorly, with sutures placed using an extracorporeal knot tying technique. The colpotomy is repaired vaginally, and the mesh is tensioned and sutured to the sacrum using the Endo360 device. The peritoneum is closed over the mesh, and the procedure is complete. The technique provides a more anatomically accurate and reproducible suspension compared to traditional methods. No credits were given in the transcript.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Keywords

sacroservicopexy

transcervical approach

supracervical hysterectomy

polypropylene mesh

Endo360 device