Omosigho Ukpebo, Paraiso Marie Fidela R, Chang Olivia H
Obstetrics and Gynecology Resident, Cleveland Clinic Women's Health Institute, Cleveland, OH, USA.
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Int Urogynecol J. 2023 Mar;34(3):783-785. doi: 10.1007/s00192-022-05370-8. Epub 2022 Oct 1.
The aim of this video is to highlight important considerations and techniques for revision sacrocolpopexy in women with symptomatic recurrence of pelvic organ prolapse after sacrocolpopexy.
In this video, we show five patients who presented with recurrent symptomatic pelvic organ prolapse after prior sacrocolpopexy. We demonstrate techniques for robotic-assisted laparoscopic sacrocolpopexy revision including surgical dissection, revision of existing mesh, and/or addition of new mesh.
Overall, revision sacrocolpopexy requires an individualized approach. These surgeries are often challenging because of adhesions and altered anatomy from the prior sacrocolpopexy. The reviewed considerations and techniques can be useful for ensuring a safe and effective outcome.
本视频的目的是强调对于骶骨阴道固定术后出现盆腔器官脱垂症状复发的女性，进行修复性骶骨阴道固定术时的重要注意事项和技术。
在本视频中，我们展示了5例既往接受过骶骨阴道固定术，之后出现复发性盆腔器官脱垂症状的患者。我们演示了机器人辅助腹腔镜骶骨阴道固定术修复的技术，包括手术解剖、对现有补片的修复和/或添加新补片。
总体而言，修复性骶骨阴道固定术需要个体化方法。由于粘连以及既往骶骨阴道固定术导致的解剖结构改变，这些手术通常具有挑战性。所回顾的注意事项和技术可能有助于确保安全有效的手术效果。
