PFD Week 2016-Laparoscopic Enterocele Repair: Closure of Enterocele And Uterosacral Ligament Suspension After Total Vaginal Mesh Placement

Laparoscopic Enterocele Repair: Closure of Enterocele And Uterosacral Ligament Suspension After Total Vaginal Mesh Placement

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Video Transcription

Video Summary

In this video, a 67-year-old woman with a history of abdominal surgeries presents with vaginal bulges caused by prolapses in her anterior and posterior vaginal walls. She undergoes multiple procedures including reconstruction, graft augmentation, sling placement, cystoscopy, ligament fixation, and peroneoplasty. However, a year later, she experiences another bulge caused by an enterocel. In January, she undergoes laparoscopic enterocel closure and utero sacral ligament suspension. The procedure involves identifying the mesh, creating a bladder flap, identifying the rectovaginal septum, and placing the posterior mesh. Due to excessive vaginal mucosa, a portion of it is excised at the apex of the enterocel. No credits are granted in the video. For more videos, visit www.un.org.

Asset Subtitle

Renee Bassaly, MD

Keywords

vaginal bulges

prolapses

abdominal surgeries

enterocel

mesh placement