PFD Week 2016-The K-Technique: A Novel Technique for Laparoscopic Apical Suspension Using Barbed Sutures

The K-Technique: A Novel Technique for Laparoscopic Apical Suspension Using Barbed Sutures

Video Transcription

Video Summary

The video discusses the importance of apical support during hysterectomy to reduce the risk of vaginal vault prolapse. It emphasizes the use of the uterus sacral ligament for anchoring the vaginal vault and demonstrates a modified technique using barbed sutures. The video highlights critical anatomical landmarks and steps during the surgery to ensure adequate and durable support. The procedure involves identifying and tagging the uterus sacral ligaments, dissecting down to the endopelvic fascia, and closing the vaginal cup with barb sutures. The K technique is used to incorporate the endopelvic fascia, vaginal wall, and uterus sacral ligament to provide support. The video concludes by stating that the technique can help decrease post-hysterectomy prolapse morbidity.

Asset Subtitle

Tarek Khalife, FACOG

Meta Tag

Category Surgery - Laparoscopic Procedures

Category Surgery - Novel Procedures

Category Pelvic Organ Prolapse

Category Education

Concept Apical Support

Concept Recurrent Vaginal Apical Prolapse

Concept Uterosacral Ligament

Concept Ureter

Concept Laparoscopic Apical Suspension

Keywords

apical support

hysterectomy

vaginal vault prolapse

uterus sacral ligament

barbed sutures

Surgery - Laparoscopic Procedures

Surgery - Novel Procedures

Pelvic Organ Prolapse

Education

Apical Support

Recurrent Vaginal Apical Prolapse

Uterosacral Ligament

Ureter

Laparoscopic Apical Suspension