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PFD Week 2016
A Transverse Vaginal Incision for The Insertion of ...
A Transverse Vaginal Incision for The Insertion of Vaginal Mesh
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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
Keywords
vaginal repair
prolapse
mesh technique
mesh extrusion
complications
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