Retropubic Approach of Sling Placement

Conclusion

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The segment will give viewers the concluding remarks.

Keywords

  • blind procedure
  • complications
  • prevention
  • training
  • competence

Conflict of Interest

The author declares no conflict of interest.

References

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About this video

Author(s)
Amita Jain
First online
27 August 2020
DOI
https://doi.org/10.1007/978-981-15-8738-2_9
Online ISBN
978-981-15-8738-2
Publisher
Springer, Singapore
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2020

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Video Transcript

Conclusion. Retropubic sling technique is unlike most other pelvic reconstructive surgical procedures, as it involves blind instrument passage in a complex, three-dimensional anatomical space. The complications are acceptably low, but the surgeons must be properly trained, and maintain a good surgical volume to remain competent.

Complications can be minimized by adhering to fundamental surgical practices during the sling insertion. These include appropriate knowledge of pelvic and vaginal anatomy, careful vaginal dissection and hemostasis, diligence during the passage of the sling trocars to avoid injury or perforation to the bladder, urethra, vaginal tissue, or groin structures. Appropriate tensioning during sling deployment, and prudence for identifying intraoperative complications.

This concludes the video of retropubic approach of sling placement. My name is Dr. Amita Jain, and I hope you find this video helpful in understanding this surgical procedure. Thank you.