PFD Week 2017-Sacrocolpopexy Modification in the Setting of a Pelvic Kidney

Sacrocolpopexy Modification in the Setting of a Pelvic Kidney

Video Transcription

Video Summary

This video demonstrates a left-sided sacrocolpopexy surgery to accommodate a right-sided pelvic kidney. The patient is a 63-year-old woman with recurrent vaginal vault prolapse. Due to the patient's need for daily manual labor and her recurrence within a year of the previous surgery, sacrocolpopexy with mesh augmentation was performed. The surgery was modified due to the presence of a congenital right-sided pelvic kidney, which required a left-sided approach. Extensive adhesions and rectosigmoid mobilization were necessary for the surgery. The mesh was attached to the anterior and posterior vaginal walls, and the patient had excellent post-surgery results.

Asset Subtitle

Emily RW Davidson, MD

Meta Tag

Concept Ectopic Kidney

Concept Sacrocolpopexy

Concept Recurrent Vaginal Apical Prolapse

Concept Presacral Dissection

Concept Mesh-Augmented Prolapse Repair

Keywords

left-sided sacrocolpopexy surgery

right-sided pelvic kidney

vaginal vault prolapse