What is Sacrocolpopexy Procedure?

 


What is Sacrocolpopexy Procedure?



Sacrocolpopexy (sacral colpopexy) may be a surgical technique that works to repair pelvic organ prolapse. Once the muscles around the pelvis weaken, the organs within the pelvis will prolapse (slide out of place). This prolapse is usually in the midst of a bulge within the vagina. Pelvic organ or vaginal prolapse most ordinarily happens once biological time, birthing or an excision. Sacrocolpopexy may be performed as an open abdominal surgery, or through the utilization of minimally invasive techniques. Sacrocolpopexy relieves bulging and pressure sensations within the girdle space and will facilitate with the stop of incontinency throughout strenuous activity.


Organs of the pelvis (the space between the hip bones) embody

  • Vagina

  • Uterus

  • Cervix

  • Bladder

  • Urethra

  • Intestines

  • Rectum

The organs are commanded in situ by a bunch of muscles and different support tissues. Once the web becomes stretched, weak or torn, it ends up in slippage of the girdle organs from their traditional place (prolapse).


The different forms of prolapse embody

  • Uterine prolapse: The womb and cervix slips down past the epithelial duct gap.

  • Vaginal vault prolapse: the highest part of the canal (vaginal vault) slips down the epithelial duct canal.

  • Cystocele: The vesica bulges into the vagina.

  • Rectocele: The body part bulges into the vagina.

  • Enterocele: the little internal organ bulges against the vaginal wall.


The most common reason behind pelvic organ prolapse includes


  • Vaginal birth that will increase the danger of vaginal prolapse

  • Hysterectomy (surgical removal of the uterus)

  • Aging

  • Vigorous physical activity

  • Lifting serious objects

  • Conditions associated with inflated abdominal pressure like fatness, frequent straining whereas defecating or chronic cough

  • Genetic factors that cause a weaker girdle web


There are three ways of procedures performed


Abdominal/Open 

Abdominal sacrocolpopexy is ideal for complex cases and when extreme scar tissues are seen, which needs hand on removal of tissues. The surgery is done through a small 6 to 8-centimeter incision near the bikini line on the lower abdomen.


Laparoscopy

The medical man performs sacrocolpopexy laparoscopically. This procedure is performed beneath anesthesia in order that the patient remains asleep throughout the procedure. Next, the medical man makes four to 5 incisions on the abdomen. The physicians fill the abdomen with greenhouse emission gas to form a house for the surgery. With the assistance of an endoscope and different instruments, the medical man performs the surgery. The medical man attaches a surgical mesh to the front and back wall of the canal to suspend the cervix back to its position. Most of the time, the medical man prefers to get rid of the womb however could leave the cervix. If the bladder or body part doesn't appear to be in situ, the medical man could repair these areas. The medical man could place a little piece of mesh beneath the duct to relinquish support to patients with incontinence, particularly after they cough, laugh or sneeze. The camera hooked up to the endoscope helps the medical man to look at the within of the womb to appear out for injuries throughout the surgery. Sacrocolpopexy takes about 2 to a few hours to finish.


Robotic-Assisted 

Robotic-assisted or robotic sacrocolpopexy is comparable to laparoscopic surgery. It involves a computer-assisted robotic arm operated by the physician that may drive in extremely tight places and perform motions on the far side of the human hand. It may be pricey and generally take longer to finish.


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