| Autor: |
Burger, MW, Dressler, L, Eddib, A |
| Zdroj: |
Journal of Minimally Invasive Gynecology; 2024 Supplement, Vol. 31 Issue 11, pS55-S55, 1p |
| Abstrakt: |
To demonstrate an efficacious, alternative approach to mesh reperitonealization with omentum during robotic-assisted (RA) laparoscopic sacrocolpopexy. Surgical education video and case report. Academic Teaching Institution. 66-year-old female presented with vaginal vault prolapse with a shortened vagina and severe dyspareunia. On physical exam, the radiated prolapsed vaginal mucosa was raw, ulcerated and very uncomfortable. Previous conservative measures failed and the patient requested surgical management. Pertinent medical and surgical history included low rectal cancer s/p chemo-radiation with laparoscopic loop sigmoid colostomy, RA total laparoscopic hysterectomy with partial vaginectomy, RA posterior pelvic exenteration, abdominal perineal resection, and omental flap to pelvis. Use of omentum to cover the sacral arm of the mesh during sarcolpopexy. This was an example of successful RA laparoscopic sacrocolpopexy when the peritoneum is unavailable for retroperitonealization. Intravenous indocyanine green was used at the end of the case to confirm vascularity to the omentum. Patient had an uneventful postoperative course and preoperative symptoms completely resolved. When a patient's peritoneum is significantly scarred and unable to be mobilized for reperitonealization of mesh during sacrocolpopexy, omentoplasty is a viable alternative. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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