Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery...

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