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