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Open Transabdominal Sacrocolpopexy

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Female Pelvic Surgery

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Abstract

Pelvic organ prolapse affects nearly 50% of parous women. For apical pelvic organ prolapse, surgical correction can be either restorative or obliterative. Despite vaginal and minimally invasive approaches, open abdominal sacrocolpopexy remains the gold standard for restorative surgical approaches for apical prolapse. Surgical preparation for open abdominal sacrocolpopexy starts with evaluation of the patient with a detailed history and physical examination and an earnest discussion with the patient regarding the goals of the surgical procedure. Discussions regarding the risks and benefits of a concomitant hysterectomy and an anti-incontinence procedure at the time of abdominal sacrocolpopexy are also done during surgical planning. The technique of open abdominal sacrocolpopexy is discussed with attention to dissection, graft usage, and suture placement. Long-term surgical outcomes of abdominal sacrocolpopexy have been shown to be durable with acceptably low rates of complication and recurrence. Although abdominal sacrocolpopexy has been around since the 1960s in its modern form, the technique has continued to evolve, and controversies such as concomitant anti-incontinence procedures are addressed in this chapter.

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Authors and Affiliations

  1. Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA

    Christopher F. Tenggardjaja & Tyler A. Kern

  2. Glickman Urological Institute, Center for Female Pelvic Medicine and Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Sandip P. Vasavada

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  1. Christopher F. Tenggardjaja
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  2. Tyler A. Kern
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  3. Sandip P. Vasavada
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Correspondence to Christopher F. Tenggardjaja .

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  1. System Director FPMRS, Associate Professor of Urology, The Smith Institute for Urology, Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY, USA

    Farzeen Firoozi

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Tenggardjaja, C.F., Kern, T.A., Vasavada, S.P. (2020). Open Transabdominal Sacrocolpopexy. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28319-3_7

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