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- W2916839687 abstract "The goal of our video is to demonstrate a surgical technique that simplifies vesicovaginal dissection during a post hysterectomy colpopexy. Recurrent vaginal vault prolapse after hysterectomy occurs in approximately 5% of patients. Post-hysterectomy colpopexy has an overall low-risk profile, however likely has a higher incidence of cystotomy over sacrocolpopexy performed at the time of hysterectomy. Scar tissue formation at the vaginal cuff after a hysterectomy causes vesicovaginal plane distortion, making identification of the bladder edge more difficult. Back filling the bladder and using a cystoscopy light are two techniques that aid in visualization, but can limit the surgeon’s visibility during the dissection as well as require additional equipment and expertise. We utilize an 18 French Foley catheter and a rigid catheter guide commonly used during midurethral sling placement demonstrated on multiple patients intraoperatively. The bladder demarcator is a new technique that helps identify the bladder edge clearly without limiting visibility or having to manage with a fluid-filled bladder during dissection. The bladder demarcator aids in both tactile sensation of the bladder’s location as well as lateral dissection with clearly defined planes. Our video demonstrates a new and safe technique that aids in the identification of the bladder edge at the time of post-hysterectomy colpopexy, which could help reduce bladder injury." @default.
- W2916839687 created "2019-03-02" @default.
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- W2916839687 date "2019-03-01" @default.
- W2916839687 modified "2023-09-26" @default.
- W2916839687 title "01: Novel method to demarcate bladder dissection during post-hysterectomy colpopexy" @default.
- W2916839687 doi "https://doi.org/10.1016/j.ajog.2019.01.135" @default.
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