Gynecologist practicing Laparoscopic Burch Colposuspension for stress urinary incontinence and Sacrohysteropexy for uterine prolapse on the Live Tissue Demonstration by Dr. J. S. Chowhan.
Hands on Training in Minimal access Surgery on the Live Tissue.
Jul 21, 2017
Event Time: 9:00 am
Location: World Laparoscopy Hospital
Today Dr R K Mishra demonstrated the Burch Suspension to the gynecologists.The laparoscopic approach can be intraabdominal or extraperitoneal to gain access to the space of Retzius, retrograde filling of the bladder with saline (infused with indigo carmine)is done. When the borders of the bladder are delineated, monopolar scissors are used to open up the peritoneum in a semilunar fashion. Dissection can then continue and the coopers ligament is exposed.The bites are taken from the Coopers Ligament to paraurethral vaginal fascia without entering the vagina. Two to 4 sutures are placed on each side, taking a good bite of overlying fascia and anterior vaginal wall. Do not pass through the vaginal mucosa. The most distal suture is placed at the level of the bladder neck and about 2 cm lateral to it, although some surgeons might place sutures more distally at the midurethral level.
The Laparoscopic Sacrohysteropexy is effective and safe in the treatment of uterovaginal prolapse in women of childbearing age group. This procedure has a high success rate in correcting prolapse without a time-dependent decrease in efficiency. Today gynecologists of World Laparoscopy Hospital January batch has learnt how to perform sacrohysteropexy. The purpose of todays Hands On training was that gynecologists should be able to perform this surgery successfully for their patients so that their patient get 100% success after laparoscopic sacrohysteropexy in women with uterovaginal prolapse.