PFD Week 2016-Laparascopic Vaginal Vault Suspension

Video Transcription

Video Summary

In this video, the laparoscopic reconstruction of a stage 3 vaginal ball prolapse is demonstrated. The procedure involves the repair of endopelvic fascial defects, starting with the dissection of the vesicle vaginal space and separation of the pubic cervical fascia from the bladder. The rectovaginal space is then dissected open, identifying the rectovaginal septum and any breaks in the fascial layer. Stitches are placed through the fascia to reconstruct the rectocele, and the ureters are identified for ureterolysis. The uterus sacral ligaments are separated from the ureter and attached to the rectovaginal septum to close the enterocele sac. The pubocervical fascia is also reattached, completing the repair of both the enterocele and transverse cystoceles. The video emphasizes the anatomical reconstruction for the relief of symptoms and restoration of urogenital function. No credits were mentioned in the transcript.

Asset Subtitle

Charu Dhingra, MD

Keywords

laparoscopic reconstruction

vaginal ball prolapse

endopelvic fascial defects

rectovaginal septum

urogenital function