1. Sacrospinous fixation and mesh anatomical issues
SPFN Advanced Pelvic Floor Reconstructive Surgery Course
Dr Stewart Pringle
University of Glasgow
November 2013

2. Optimising outcomes Multifactorial! Patient selection / consent
Training
Safe surgical practice
Management of complications
Governance issues

3. Optimising outcomes Multifactorial! Patient selection / consent
Training
Safe surgical practice- anatomy
Management of complications
Governance issues

4. Training Teams as well as individuals
Organise theatre time appropriately
Anticipate learning curve and be realistic

6. Safe surgical practice
Improved technology?
Single incision
Lightweight mesh
Fixation methods
Anatomical considerations

7. Sacro spinous fixation and mesh anatomical issues

8. Safe surgical practice

9. Quiz- answers

11. Ureter and Pelvic Vessels

12. Pelvic Basin

13. Internal Pelvic Sidewall

14. Internal Pelvic Sidewall

15. Internal Pelvic Sidewall

16. Internal Pelvic Sidewall