PFD Week 2016-Failed Mesh Sacral Colpopexy Resulting in Recurrent Uterine Prolapse Treated Successfully with Laparoscopic Sacral

Failed Mesh Sacral Colpopexy Resulting in Recurrent Uterine Prolapse Treated Successfully with Laparoscopic Sacral

Video Transcription

Video Summary

The video discusses a case of recurrent uterine prolapse in a 52-year-old woman who previously underwent a mesh hysteropexy. It is explained that the attenuation, stretching, or breaking of the uterus sacral ligaments can lead to uterine prolapse. The laparoscopic examination reveals that the mesh used in the previous surgery is no longer attached to the uterus, causing the recurrence of prolapse. The video then shows the surgical procedure to correct the prolapse by attaching a new mesh to the cervix and uterus using sutures. The importance of proper mesh attachment and suturing techniques is emphasized to prevent recurrence. The video concludes by stating that hysterectomy may not always be necessary in cases of recurrent uterine prolapse.

Asset Subtitle

John Miklos, MD

Meta Tag

Concept Uterosacral Ligament

Concept Uterine Prolapse

Concept Laparoscopic Mesh Sacrohysteropexy

Concept Suture Attachment

Concept Failure Mode

Keywords

recurrent uterine prolapse

mesh hysteropexy

uterus sacral ligaments