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

Keywords

Robotic approach

Vaginal mesh exposure

Bladder

Surgical planning

Mesh removal