What is abdominal Sacrocolpopexy?

What is abdominal Sacrocolpopexy?

Abdominal sacrocolpopexy is a procedure that uses a mesh material to support the top of the vagina to treat pelvic prolapse. Stitches attach the mesh to the front of the tail bone (sacrum). If necessary, a vaginal repair of the bladder and bowel might also follow this procedure.

What does the word colpopexy mean in medical terms?

Colpopexy: The use of stitches to bring a displaced vagina back into position against the abdominal wall.

What is the CPT code for Sacrocolpopexy?

57425
CPT-4 procedure codes were used to identify women who underwent open (code 57280) or laparoscopic (code 57425) sacrocolpopexy.

How common is Sacrocolpopexy?

It is a common occurrence and 7% to 19% of women receive surgical repair. Abdominal sacrocolpopexy is the most durable operation for advanced POP and serves as the criterion standard against which other operations are compared.

Where is the sacral promontory located?

The superior aspect of the sacrum, referred to as the sacral promontory, articulates superiorly with the L5 vertebral body of the lumbar spine.

What is the difference between TLH and LAVH?

A TLH approach for removal is the detachement of the entire uterine cervix and body via the laparoscope (tissues removed through vagina or abdomin) and a LAVH is the detachement of entire uterine cervix and body via the laparoscope and vagina (tissues removed through the vagina).

How long is Sacrocolpopexy surgery?

The operation normally takes around 20-30 minutes to complete and may be carried out at the same time as the sacrocolpopexy. All the stitches used in vaginal repair are dissolvable, but can take up to 3 months to fully dissolve.

How long does a Sacrocolpopexy last?

The surgery takes 2-3 hours to complete. When it is over, the patient will be taken to the Post-Anesthesia Care Unit (PACU) to wake up from anesthesia.

What causes vaginal prolapse?

Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken and no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina. Uterine prolapse can occur in women of any age.

What muscles connect sacrum?

Muscle Attachments

• Piriformis – originates from sacral segments 2 through 4.
• Coccygeus (pelvic floor muscle) – inserts on the border of lower sacrum and coccyx.
• Iliacus – some fibers originate from the ala of the sacrum.

Why is sacrum called sacred bone?

A more plausible explanation may be that the holiness of the sacral bone was an attribute borrowed from the ancient Egyptians, who considered this bone sacred to Osiris, the god of resurrection and of agriculture. 1. Drabkin IE: Caelius Aurelianus: On Acute Diseases and on Chronic Diseases .

Does Lavh remove cervix?

Definition: Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is an operation to remove the uterus (womb) and cervix through the vagina, with the aid of a small operating telescope, called a laparoscope.

What position are you in during a laparoscopic hysterectomy?

Patients are placed in a dorsal lithotomy position with pneumoboots. The arms are tucked at the sides and a foam mattress is situated directly under the patient to prevent sliding during steep Trendelenburg.