PFD Week 2018-Extraperitoneal Uterosacral Ligament Suspension

Video Transcription

Video Summary

The video demonstrates an extraperitoneal approach to utero-sacral ligament suspension, which is a common procedure for apical repairs. The technique is an alternative to intraperitoneal access, which can be challenging. The procedure involves marking the vaginal vault, creating a diamond shape using clamps, infiltrating the tissue, and making incisions. Dissection is then performed to isolate the utero-sacral ligaments. Sutures are placed through the ligaments and a modified McCall's coldoplasty is performed. An anterior repair may be done if necessary. The posterior wall is closed and cystoscopy is performed to confirm ureteral patency. The average time for the procedure is 2 hours and 6 minutes with minimal blood loss.

Asset Subtitle

Laura Martin, DO

Meta Tag

Category Pelvic Organ Prolapse

Category Surgery - Vaginal Procedures

Concept Uterosacral Ligament Suspension

Concept Apical Prolapse

Concept Extraperitoneal Approach

Concept Vaginal Cuff

Concept Pararectal Space

Keywords

extraperitoneal approach

utero-sacral ligament suspension

apical repairs

intraperitoneal access

vaginal vault marking

Pelvic Organ Prolapse

Surgery - Vaginal Procedures

Uterosacral Ligament Suspension

Apical Prolapse

Extraperitoneal Approach

Vaginal Cuff

Pararectal Space