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PFD Week 2018
Extraperitoneal Uterosacral Ligament Suspension
Extraperitoneal Uterosacral Ligament Suspension
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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
Keywords
extraperitoneal approach
utero-sacral ligament suspension
apical repairs
intraperitoneal access
vaginal vault marking
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