PFD Week 2016-Laparoscopic Sacrocolpopexy for "Gap Failure" after Anterior and Posterior Mesh Repairs

Laparoscopic Sacrocolpopexy for "Gap Failure" after Anterior and Posterior Mesh Repairs

Video Transcription

Video Summary

This video discusses a case of recurrent vaginal vault prolapse after a vaginal mesh repair procedure. The patient, a 52-year-old woman, experienced prolapse two years after the initial repair. Examination showed well-supported anterior and posterior vaginal walls with palpable mesh, but the apex of the vagina was descended and atrophic. The patient chose to undergo laparoscopic sacrocopalpexy for treatment. Laparoscopic evaluation revealed that the mesh did not fully cover the anterior and posterior vaginal walls, which may have contributed to the recurrent prolapse. The video also mentions the identification of anatomical structures and the surgical steps involved in the procedure. No specific credits are mentioned in the transcript.

Asset Subtitle

Peter L. Rosenblatt, MD, FACOG

Keywords

recurrent vaginal vault prolapse

vaginal mesh repair

laparoscopic sacrocopalpexy

mesh coverage

surgical steps