Minimally Invasive Abdominal Sacrocolpopexy
 
  90% Success Rate For Treating Vaginal Vault Prolapse

Traditionally, abdominal sacrocolpopexy has been the gold standard for correcting prolapse of the vaginal vault (see related article in this issue for more information about this condition). This involves an abdominal incision measuring six to eight inches and typicallyrequires hospitalization of two to four days. However, recent advances have allowed this same procedure to be performed via a robotic-assisted or laparoscopic approach. This results in smaller incisions, less postoperative pain, decreased hospitalization, and quicker overall recovery, all while maintaining the same high success rates.
 
“Alliance Urology Specialists is one of only a few centers in the Carolinas to offer this advanced level of treatment for vaginal vault prolapse.” said Lester Borden, Jr., MD, who is fellowship-trained in robotic surgery.



 The da Vinci® system provides enhanced
visualization and precision for our surgeons.
The Procedure
During minimally invasive abdominal sacrocolpopexy, a piece of synthetic mesh is stitched to the top of the vagina and attached to a strong ligament overlying the back of the pelvic bone. The mesh is a permanent material (prolene) as are the sutures. The area between the bowel and the top of the vagina is often closed to prevent a hernia of the bowel from developing. The success rate for this procedure is approximately 90%. Other problems such as incontinence or prolapse of the bladder or rectum may also be corrected while the patient is under anesthesia for this procedure.

Most patients require overnight hospitalization. They are encouraged to walk the night of the surgery to minimize the risks of blood clots. Deep breathing exercises help prevent the risk of lung problems or pneumonia. Patients wake up from surgery with a catheter and sometimes a vaginal packing in place. The packing is usually removed the morning after surgery. The catheter is also usually removed the day after surgery, and patients will undergo a voiding trial to make sure they can empty their bladder appropriately. If a patient is unable to empty her bladder prior to leaving the hospital, she will be taught how to catheterize herself by the nursing staff before she is discharged home. This problem most commonly resolves within one to two weeks after surgery.

To learn more about sacrocolpopexy or other minimally invasive procedures, call 336-274-1114.




 
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