PFD Week 2017-Excision of Vaginal Mesh Exposure in The Bladder: A Robotic Approach

Excision of Vaginal Mesh Exposure in The Bladder: A Robotic Approach

Video Transcription

Video Summary

Summary: This video discusses a robotic approach to remove vaginal mesh exposure in the bladder of a 77-year-old patient. The patient had previously undergone a hysterectomy and received a vaginal mesh for asystocele. Complaints of mesh exposure prompted surgical planning for robotic removal. The procedure involved identifying ureters, elevating the apex using a vaginal sizer, incising and dissecting the vesicle-vaginal peritoneum, and carefully removing the mesh. The bladder wall was dissected off the mesh, and a cystotomy was made at the exposure location. The mesh was transected, removed almost entirely, and the bladder was repaired. The patient recovered well and was discharged with a Foley catheter.

Asset Subtitle

Danielle O'Shaughnessy, MD

Meta Tag

Concept Bladder Mesh Exposure

Concept Mesh Excision

Concept Vaginal Mesh Exposure

Concept Cystoscopy

Concept Bladder

Keywords

Robotic approach

Vaginal mesh exposure

Bladder