Sacrospinous fixation and mesh anatomical issues

SPFN Advanced Pelvic Floor Reconstructive Surgery Course

Dr Stewart Pringle

University of Glasgow

November 2013

Optimising outcomes

• Multifactorial!

• Patient selection / consent

• Training

• Safe surgical practice

• Management of complications

• Governance issues

Optimising outcomes

• Multifactorial!

• Patient selection / consent

• Training

• Safe surgical practice- anatomy

• Management of complications

• Governance issues

Training

• Teams as well as individuals

• Organise theatre time appropriately

• Anticipate learning curve and be realistic

Safe surgical practice

• Improved technology?– Single incision– Lightweight mesh– Fixation methods

• Anatomical considerations

Sacro spinous fixation and mesh anatomical issues

Safe surgical practice

Quiz- answers

Ureter and Pelvic Vessels

Pelvic Basin

Internal Pelvic Sidewall

Internal Pelvic Sidewall

Internal Pelvic Sidewall

Internal Pelvic Sidewall