Subscribe to be the first to know about Best Deals and Exclusive Offers!
Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology
by Nutan JainThis video highlights the surgical treatment of pain complications associated with tension-free vaginal tape (TVT) type retropubic slings and laparoscopic approach to complete TVT removal. This video demonstrate simultaneous laparoscopic Burch and paravaginal repair for stress urinary incontinence (SUI) and a cystocele. A patient presented with dyspareunia, vaginal, lower abdominal and pubic pain since the placement of her TVT. Physical examination confirms paraurethral pain, stress urine incontinence and a cystocele. The patient requested sling removal due to the severity of the pain and its affected on her quality of life. A transvaginal dissection coupled with a laparoscopic approach was utilized to completely excite the sling from the vagina to the anterior abdominal wall. A simultaneous Burch and paravaginal repair were performed for her SUI and cystocele. Postoperatively, she had complete resolutions of her pain, SUI and cystocele.
© 2019 Jaypee Brothers Medical Publishers (P) LTD. | All Rights Reserved