PFD Week 2016-Post-Hysterectomy Laparoscopic Uterosacral Ligament Suspension

Post-Hysterectomy Laparoscopic Uterosacral Ligament Suspension

Video Transcription

Video Summary

This video demonstrates a technique for post-hysterectomy laparoscopic utero-sacral ligament suspension. It is a common surgical procedure for addressing apical prolapse. The laparoscopic approach offers better visualization, reduced ureter obstruction, and an opportunity for bladder dissection to improve outcomes. The video showcases the surgical steps and optimal port placement. Anterior dissection of the bladder and identification of the ureters are performed before suturing the utero-sacral ligaments. The procedure concludes with extracorporeal knot tying and closure of laparoscopic ports. Follow-up at 2 months showed stage 1 support. This technique provides a native tissue option for patients with post-hysterectomy apical prolapse. (Words: 117)

Asset Subtitle

Allison Wyman, MD

Keywords

laparoscopic utero-sacral ligament suspension

post-hysterectomy

apical prolapse

surgical procedure

bladder dissection