PFD Week 2016-Combined Laparoscopic Sacrocolpopexy

Combined Laparoscopic Sacrocolpopexy - Rectopexy

Video Transcription

Video Summary

In this video, a 69-year-old female patient with pelvic pressure complaints is discussed. The patient had a history of vaginal hysterectomy and recently underwent rectal prolapse repair via a perineal approach. However, she presented with recurrent rectal prolapse, rectocele, and mild ball prolapse. The video demonstrates a combined laparoscopic approach to repair pelvic floor defects. Various trocars are used for access, and the sacral promontory, rectum, and other structures are identified. Mesh placement is done on the anterior rectum and posterior aspect of the vagina, securing it with sutures. The mesh is then covered with the perineum, resulting in rectum stability with no twisting or twerking. The summary does not mention any credits granted.

Asset Subtitle

Amy Steven, MD

Keywords

pelvic pressure complaints

laparoscopic approach

recurrent rectal prolapse

rectocele

mesh placement