| Summary: | Abdominal Sacrocolpopexy (ASC) involves the placement of a bridge of graft material to attach the prolapsed vagina to anterior longitudinal ligament of sacrum. Candidates for Abdominal Sacrocolpopexy (ASC) include women with symptomatic stage II or greater prolapse including apical Relaxation. The durability of sacrocolpopexy and its potential benefits for sexual function (preservation of vaginal length and axis and lower rate of dyspareunia) make this procedure a good option for even primary repair in relatively young, sexually active women. This video gives a comprehensive overview of understanding the concept, selection of patient, preoperative preparation including positioning and placement of ports and detailed operative technique with clear demonstration of surgical anatomy and tips to avoid technical nuances and potential complications. In addition, given the high definition picture, magnified image, and limited movement secondary to human manipulation, the robotic approach provides an excellent opportunity to film and educate on the steps and anatomy crucial to this procedure. Same steps can be replicated in open or laparoscopic approach, as per surgeon expertise.
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