PFD Week 2018-Robotic Mesh Excision

Video Transcription

Video Summary

This video describes the technique of robotic-assisted laparoscopic excision of retrocubic mesh. The patient, a 53-year-old female, had undergone a retrocubic sling procedure in 2006 for stress urinary incontinence. She developed complications including mesh exposure, recurrent urinary tract infections, pelvic pain, dyspareunia, and urinary urgency and frequency. Despite previous surgical attempts to address these issues, her symptoms persisted. After further evaluation, she underwent a robotic-assisted laparoscopic excision of retropubic and intravesical mesh. The procedure involved identifying and removing the mesh from the bladder wall, as well as freeing it from surrounding tissues. The patient experienced improvement in symptoms postoperatively. The robotic approach offered advantages such as precise visualization and minimal blood loss. However, limitations include cost and the need for intraperitoneal access. Overall, the technique proved to be safe and effective in removing mesh embedded in the bladder wall.

Asset Subtitle

Rachael D Sussman, MD

Meta Tag

Category Complications

Category Surgery - Robotic Procedures

Keywords

robotic-assisted laparoscopic excision

retrocubic mesh

mesh exposure

urinary tract infections

pelvic pain