PFD Week 2016-Combined Laparoscopic Sacrocolpoperineopexy-Rectopexy Procedure for Pelvic Organ Prolapse

Combined Laparoscopic Sacrocolpoperineopexy-Rectopexy Procedure for Pelvic Organ Prolapse

Video Transcription

Video Summary

The video is a combined laparoscopic sacro-culpo-perineopexy and rectopexy procedure on a 56-year-old female patient who presented with vaginal bulge, defecatory dysfunction, and chronic constipation. The surgical approach involves the use of a bowel retractor called the T-Lift to visualize the sacrum and ureters. Dissection is done to release the uterus sacral ligament and rectus sigmoid, while avoiding the ureter and venous plexus. A hysterectomy is performed, followed by the placement of a polypropylene mesh to correct the rectal intussusception and prolapse. The mesh is secured, and the perineal body and vagina are closed. The patient experienced improved bowel symptoms and no recurrence of prolapse postoperatively. No credits were provided.

Asset Subtitle

Peter O'Hare, MD

Keywords

laparoscopic sacro-culpo-perineopexy

rectopexy procedure

vaginal bulge

defecatory dysfunction

chronic constipation