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Revision sacrocolpopexy: tips and tricks for optimal outcomes

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Abstract

Introduction and hypothesis

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.

Methods

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.

Conclusions

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.

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References

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Authors and Affiliations

  1. Obstetrics and Gynecology Resident, Cleveland Clinic Women’s Health Institute, Cleveland, OH, USA

    Ukpebo Omosigho & Marie Fidela R. Paraiso

  2. Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA

    Olivia H. Chang

Authors
  1. Ukpebo Omosigho
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  2. Marie Fidela R. Paraiso
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  3. Olivia H. Chang
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Corresponding author

Correspondence to Ukpebo Omosigho.

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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

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Omosigho, U., Paraiso, M.F.R. & Chang, O.H. Revision sacrocolpopexy: tips and tricks for optimal outcomes. Int Urogynecol J 34, 783–785 (2023). https://doi.org/10.1007/s00192-022-05370-8

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  • DOI: https://doi.org/10.1007/s00192-022-05370-8

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