PFD Week 2018-Sacrospinous Ligament Suspension Utilizing Porcine Urinary Bladder Extracellular Matrix and Polyetheretherketone Anchor Fixation

Sacrospinous Ligament Suspension Utilizing Porcine Urinary Bladder Extracellular Matrix and Polyetheretherketone Anchor Fixation

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Video Transcription

Video Summary

The video demonstrates a surgical procedure for the correction of pelvic organ prolapse using a 4-point sacrospinous ligament suspension technique. The procedure involves using porcine urinary bladder extracellular matrix and polyether ether ketone anchors to provide support. The video shows the examination under anesthesia, identification of vaginal wall defects, and apical prolapse. The anterior and posterior dissections are performed, and the sacrospinous ligaments are identified. The anchors are placed into the ligaments from both the posterior and anterior approaches. The video also shows the placement of sutures, closure of the vaginal wall, and the use of a graft. The technique is demonstrated on a patient with massive vaginal vault prolapse. The video concludes by mentioning the importance of long-term follow-up for safety, efficacy, and sexual function. (No credits are mentioned in the transcript.)

Asset Subtitle

Conrad J Duncan, MD, JD, FACOG, FACS

Meta Tag

Category Surgery - Vaginal Procedures

Category Pelvic Organ Prolapse

Keywords

surgical procedure

pelvic organ prolapse

4-point sacrospinous ligament suspension technique

porcine urinary bladder extracellular matrix

polyether ether ketone anchors