Surgical traps in laparoscopic sacrocolpopexy for vaginal vault prolapse

Objective To describe the possible difficulties encountered in the event of laparoscopic sacrocolpopexy for vaginal vault prolapse and corresponding avoidance strategies. Methods Video recordings of different laparoscopic sacrocolpopexies for vaginal vault prolapse showing various situations and dif...

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Veröffentlicht in:International Urogynecology Journal 2020-12, Vol.31 (12), p.2675-2677
Hauptverfasser: Jochum, Floriane, Host, Aline, Hummel, Michel, Akladios, Cherif, Lecointre, Lise, Garbin, Olivier
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container_end_page 2677
container_issue 12
container_start_page 2675
container_title International Urogynecology Journal
container_volume 31
creator Jochum, Floriane
Host, Aline
Hummel, Michel
Akladios, Cherif
Lecointre, Lise
Garbin, Olivier
description Objective To describe the possible difficulties encountered in the event of laparoscopic sacrocolpopexy for vaginal vault prolapse and corresponding avoidance strategies. Methods Video recordings of different laparoscopic sacrocolpopexies for vaginal vault prolapse showing various situations and difficulties. University Teaching Hospital of Strasbourg. Results Although laparoscopic sacrocolpopexy for vaginal vault prolapse is becoming more common, achieving a good outcome remains challenging, especially with the vesicovaginal dissection. Bladder injuries are not rare and occur in about 2 to 6% of cases. Vaginal perforation is less common, but remains a risk. This video illustrates possible difficulties encountered and presents various strategies to avoid them. Several tips on exposing structures and following anatomical landmarks are described. Conclusion Knowing how to avoid these surgical traps will help trainee urogynecologic surgeons to perform laparoscopic sacrocolpopexy for vaginal vault prolapse.
doi_str_mv 10.1007/s00192-020-04341-1
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Methods Video recordings of different laparoscopic sacrocolpopexies for vaginal vault prolapse showing various situations and difficulties. University Teaching Hospital of Strasbourg. Results Although laparoscopic sacrocolpopexy for vaginal vault prolapse is becoming more common, achieving a good outcome remains challenging, especially with the vesicovaginal dissection. Bladder injuries are not rare and occur in about 2 to 6% of cases. Vaginal perforation is less common, but remains a risk. This video illustrates possible difficulties encountered and presents various strategies to avoid them. Several tips on exposing structures and following anatomical landmarks are described. 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source Springer Nature - Complete Springer Journals
subjects Abdomen
Bladder
Consent
Dissection
Fecal incontinence
Gynecology
Hospitals
Hysterectomy
IUJ Video
Laparoscopy
Laparotomy
Medicine
Medicine & Public Health
Pelvic organ prolapse
Pelvis
Quality of life
Surgery
Urology
Vagina
title Surgical traps in laparoscopic sacrocolpopexy for vaginal vault prolapse
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