PFD Week 2016-Laparoscopic Native-Tissue Uterine Suspension: A Novel Modification to Enhance Anterior Support

Laparoscopic Native-Tissue Uterine Suspension: A Novel Modification to Enhance Anterior Support

Video Transcription

Video Summary

The video is a surgical demonstration of a novel modification to traditional uterosacral uterine suspension. The modification aims to improve anterior vaginal prolapse by providing support to the proximal anterior vagina. The surgeon begins by identifying the left and right uterosacral ligaments and creating a bladder flap. Non-absorbable sutures are then passed through the uterosacral ligaments, the uterosacral cardinal ligament complex, and the fibromuscularis of the proximal anterior vaginal wall. The sutures are tied to provide support to the anterior and posterior vaginal apex. The surgeon then repairs the paravaginal defects by re-approximating the arcus tendineus pelvic fascia to the vaginal apex. This modification aims to reduce the recurrence of anterior vaginal prolapse. No credits were provided in the transcript.

Asset Subtitle

Peter Jeppson, MD

Keywords

surgical demonstration

uterosacral uterine suspension

anterior vaginal prolapse

support

paravaginal defects