PFD Week 2016-Laparocscopic Sacral Hysterocolpopexy: A Dual-Mesh Modification

Laparocscopic Sacral Hysterocolpopexy: A Dual-Mesh Modification

Video Transcription

Video Summary

This video describes the technique of dual mesh laparoscopic sacral hysterocopalpexy, a procedure used to treat uterine prolapse. The procedure involves elevating the vagina and uterus using polypropylene mesh secured to the sacrum. The video highlights the clinical considerations for uterine sparing prolapse repairs, including selecting patients carefully and considering concurrent hysterectomy for patients with specific uterine diseases. The video also demonstrates the steps of the procedure, such as rectovaginal and vascovaginal dissections, creating windows in the broad ligaments, and attaching the mesh to the anterior and posterior vagina and cervix. The use of two strips of mesh has shown improved anatomical outcomes. The video concludes by stating that laparoscopic sacral hysterocopalpexy is a safe procedure with acceptable results for women who desire uterine preservation. No specific credits were mentioned in the transcript.

Asset Subtitle

Gouri Diwadkar, MD

Keywords

dual mesh laparoscopic sacral hysterocopalpexy

uterine prolapse treatment

polypropylene mesh

uterine sparing prolapse repairs

laparoscopic sacral hysterocopalpexy