PFD Week 2016-Cerclage Sacrohysteropexy: A Novel Technique for Uterovaginal Prolapse

Cerclage Sacrohysteropexy: A Novel Technique for Uterovaginal Prolapse

Video Transcription

Video Summary

The video demonstrates a novel technique called cerclage sacrohystoropexy for treating uterine prolapse. The procedure involves placing a synthetic tape or mesh circumferentially around the cervix to provide support. It begins laparoscopically with dissection and exposure of the sacral anatomy. The surgery then continues vaginally with dissection of the bladder and rectum off the cervix. The I-stop mesh, typically used as a midurethral sling, is utilized for this procedure. The mesh is sutured together to create a wider segment for attachment to the sacrum. The sacral extension is placed into the cul-de-sac, and sutures are tied down to elevate the uterus into a normal position. The procedure aims to simplify the surgery and reduce operating time while maintaining long-term efficacy.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Meta Tag

Category Pelvic Organ Prolapse

Category Surgery - Novel Procedures

Keywords

cerclage sacrohystoropexy

uterine prolapse treatment

synthetic tape or mesh

laparoscopic and vaginal surgery

I-stop mesh