V268: Robotic Uterosacral Ligament suspension: Proximity of the ureters and the uterosacral ligaments. Anatomy reviewed.
VideoIntroduction and Objectives
There is a growing recognition to support the apex of the vagina during pelvic organ procedures. This trend has encouraged many surgeons to support the apex of the vagina following hysterectomy. Recently with more hysterectomy being performed robotically many surgeons would choose to suspend the apex of the vagina robotically by performing a concurrent sacrocolpopexy or uterosacral ligament suspension.
This is a prospective IRB approved collection of our series (n=4) from 6/2012-08/2012. Although this is a very small series with short term follow-up we would like to use this video as a review in apical suspension anatomy while using utereosacral ligaments for suspension.
In this video we present our experience with Robotic uterosacral ligament suspension following a Robotic Hysterectomy. We review the pelvis anatomy with special attention to the ureters and their close proximity to the uterosacral ligaments.
: The visibility of the pelvis specially the ureters and the uterosacral ligaments are appreciated during robotic uterosacral ligament suspension following robotic hysterectomy. Patency of the ureters during and following the high suspension of the apex of the vagina are easily demonstrated.