PFD Week 2016-Laparascopic Sacrocervical Colpopexy

Video Transcription

Video Summary

In this video, the process of laparoscopy is described. The speaker begins by evaluating the anatomy and ensuring there are no innate effusions. They then trace and evaluate the ureter, before tenting up the peritoneum and creating a pocket to separate the peritoneum from the ureter. The next steps involve dissecting down to the cervix and separating the old remnants of the uterus sacral ligament. The speaker uses a new suture material called the quill, which has barbs to prevent retraction and tension on tissues. They attach the graft material to the rectovaginal septum and levator muscles with a running suture, then cut off excess material. The graft material is brought up to the sacral promontory and attached with staples. The video showcases the quill's ability to hold the tissue together, and the graft material is then covered and retro-peritonealized to prevent hernias or bowel attachment. The specific quill material used is a 20 proline 7 by 7. Credits: www.ottobock.com.

Asset Subtitle

Charu Dhingra, MD

Keywords

laparoscopy

anatomy evaluation

ureter tracing

peritoneum tenting

suture material quill