How to do Safe Laparoscopic Hysteropexy - Lecture by Dr R K Mishra

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This video demonstrate How to do Safe Laparoscopic Hysteropexy - Lecture by Dr R K Mishra. Laparoscopic hysteropexy involves a lifting up and reinforcing the support structures of a uterus. It is a surgical procedure for women who are troubled by prolapse (a feeling of falling down or heaviness in the vagina) of their womb. When performing a hysteropexy, we wrap a special reinforcement mesh / netting around the neck of the womb (the cervix) and fix this to some strong tough areas (ligaments) on the base of the spine. This is what keeps the womb in place and we hope that by using this special mesh material, that the womb will be unable to fall down or prolapse again. In younger women or those who may desire future pregnancies we use a tape (uterine sling – images) to support the uterus as this does not wrap around the cervix and may be better in these situations. The principles of the operation are the same for both methods.

Hysteropexy is used as a treatment for women with prolapse of their uterus. It is a womb-sparing procedure, as it does not involve removing the womb (hysterectomy). It is chosen by those women who for whatever reason are keen to not have their uterus removed. We hope that by not subjecting woman to much of the necessary surgical cutting involved in performing a hysterectomy, that also a woman’s recovery will be quicker, and that she will be able to return to daily activities sooner than is normally the case with hysterectomy. If your preference is to have your womb removed, a hysterectomy would be a more appropriate operation. If you have any doubts regarding surgery we would advocate trying non-surgical treatments first.

Laparoscopic hysteropexy is safe and very effective, but as with any surgical procedure there are risks attached. Some women have such dense scarring because of their previous surgery that preclude us from performing the procedure safely with keyhole surgery, and we may need to perform the prolapse repair via the vagina. This is very rare. The risks common to all operations include anaesthetic risks, infection, bleeding, recurrence of symptoms and formation of a blood clot in the legs/lungs.

Видео How to do Safe Laparoscopic Hysteropexy - Lecture by Dr R K Mishra канала DR RK Mishra