PFD Week 2016-Robotic Trachelectomy S/P Robotic Supracervical Hysterectomy and Sacrocervicopexy

Robotic Trachelectomy S/P Robotic Supracervical Hysterectomy and Sacrocervicopexy

Video Transcription

Video Summary

This video presentation showcases a robotic-assisted laparoscopic trachelectomy performed on a patient who had previously undergone a robotic supracervical hysterectomy and sacrocervical pexy. The video emphasizes the importance of considering trachelectomy in cases where there may be new onset cervical pathology or undiagnosed uterine or cervical pathology before the surgery. The procedure is performed using a Y-mesh configuration attached during the sacrocervical pexy, and the steps of dissection, removal of the mesh, amputation of the cervix, suturing, and retroperitonealization are demonstrated. One year post-surgery, no erosion or prolapse recurrence was observed. The video credits Dr. Nestor Villairata, Diego Villairata, and the Visible Body AMS Pelvic Anatomy app for providing animated images.

Asset Subtitle

Amir Shariati, MD, MS, FACOG, FPMRS

Keywords

robotic-assisted laparoscopic trachelectomy

cervical pathology

uterine pathology

sacrocervical pexy

Y-mesh configuration