PFD Week 2016-A Transverse Vaginal Incision for The Insertion of Vaginal Mesh

Video Transcription

Video Summary

In this video, the technique of using mesh for vaginal repair of prolapse is discussed. The controversy surrounding this approach is due to the risk of mesh extrusion and associated complications. The speaker explains a modified technique to minimize these risks by making a transverse incision in the vaginal mucosa prior to mesh placement. They demonstrate the process of sharp dissection and mobilization of the vaginal tissue, highlighting the benefits of reduced tissue trauma and bleeding. The mesh procedure involves placing the mesh arms through the ischiorectal fossa and attaching them to the snare. The speaker then describes the placement of a trans-obdurator sling and the anterior mesh. Stay sutures are used to secure the mesh, and the incisions are closed. An opticon valve catheter is inserted for postoperative mobility and typically, patients are discharged on the first postoperative day. No credits are mentioned in the transcript.

Asset Subtitle

Cristian Campian, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Pelvic Organ Prolapse

Concept Transverse Vaginal Mucosal Incision

Concept Mesh Placement

Concept Vaginal Mesh Exposure

Concept Endopelvic Fascia

Concept Sacrospinous Ligament Colpopexy

Keywords

vaginal repair

prolapse

mesh technique

mesh extrusion

complications

Surgery - Vaginal Procedures

Pelvic Organ Prolapse

Transverse Vaginal Mucosal Incision

Mesh Placement

Vaginal Mesh Exposure

Endopelvic Fascia

Sacrospinous Ligament Colpopexy