Fig. 63.1
Port position for robotic assisted sacrocolpopexy
Fig. 63.2
Identification sacral promontory
Fig. 63.3
Incision of peritoneum over the sacral promontory to expose the all
Fig. 63.4
Two Gore-tex sutures are pre-placed through anterior longitudinal ligament
Fig. 63.5
Peritoneum incised from the promontory to the vaginal vault
Fig. 63.6
Sacrocolpopexy retractor or EEA Sizer inserted into vagina to assist vault dissection
Fig. 63.7
Dissection of avascular plane between anterior vaginal wall and bladder
Fig. 63.8
Dissection of plane between posterior vaginal wall and rectum
Fig. 63.9
Peritoneum dissected of vaginal vault for mesh placement
Fig. 63.10
(a) Fixation of mesh to anterior vagina less than full thickness bites. (b) Fixation of mesh to anterior vagina barbed running suture. (c) Fixation of mesh to posterior vagina in symmetrical fashion
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