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- W4212837830 abstract "In this video, we demonstrate the laparoscopic removal of a large pelvic mass that was found intra-operatively and proceed to perform an efficient laparoscopic sacrocolpopexy to address the patient's primary complaint of prolapse symptoms. We present a patient with recurrent vaginal vault prolapse in the setting of a complicated previous total vaginal hysterectomy. The patient had a surgical history significant for TVH, BS, AP repair, TVT sling, cystoscopy and then a subsequent failed SSLF. Upon entry laparoscopically, the patient’s uterus was noted to be surgically absent; however, at the surgical bed of her previous hysterectomy, a large pelvic mass was noted. It appeared to be attached to the broad ligament without any connections to the bladder, rectum, or vagina. With careful identification of the surrounding anatomy and thoughtful dissection, the mass was able to be safely detached. Subsequently, a laparoscopic sacrocolpopexy was performed implementing techniques to improve intra-operative efficiency. The mass was then removed through the 11 mm suprapubic port site via bag morcellation after extending the fascia. Final pathology resulted as a benign leiomyoma. Post-operatively, the patient was discharged home POD#0 with an uncomplicated course. At her 6-week post-op appointment, she had restoration of normal anatomy with no evidence of recurrent prolapse. She has now been followed 3 months post-operatively without any complications. In this case, we demonstrate how to perform an efficient laparoscopic sacrocolpopexy as well as a post-hysterectomy myomectomy that was diagnosed intra-operatively; this video highlights the importance of utilizing efficient surgical techniques, especially during more challenging cases." @default.
- W4212837830 created "2022-02-24" @default.
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- W4212837830 date "2022-03-01" @default.
- W4212837830 modified "2023-09-25" @default.
- W4212837830 title "Pelvic mass resection at time of laparoscopic sacrocolpopexy" @default.
- W4212837830 doi "https://doi.org/10.1016/j.ajog.2021.12.227" @default.
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