ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:05 PM
PRE-OP DIAGNOSIS: Vaginal Vault Prolapse
POST-OP DIAGNOSIS: Vaginal Vault Prolapse
PROCEDURE: Removal/revision of sling for SUI
EBL: Minimal
SPECIMENS: None
CONDITION: excellent

Description of procedure

The patient was brought to the operating room and general endotracheal was initiated. The patient was then prepped and draped in the usual sterile fashion in the dorsal lithotomy position with . The time out safety protocol was called out by the surgeon and affirmed by all personnel present.Two Alice clamps were used to grasp the anterior vaginal mucosa. Central injection with xylocaine and epinephrine was then performed. Strully scissors were used to create central incision, and dissect the vaginal mucosa away from the underlying tissue. Pratt clamps were used on the vaginal mucosa. The underlying tissue was then imbricated using interrupted 2-0 Vicryl. The excess vaginal mucosa was trimmed and sent to pathology. The mucosa was then reapproximated with a running locking stitch. Two allice clamps were used to grasp the posterior vaginal mucosa on each opposing side. A central injection with xylocaine and epinephrine was then performed. Strully scissors were used to create a central incision, and dissect the vaginal mucosa away from the underlying tissue. Lateral vaginal wall retractors were used to aid in exposing the sacro spinous ligament. The Capio suture passer was then used to place a 0-prolene suture in the ligament. The other end was sutured to the vaginal apex, and the tied down, elevating the vaginal apex. Good hemostasis was confirmed.A culdoplasty was then performed without difficulty using 2-0 Vicryl to treat/prevent an enterocele. The Pouch Of Douglas was significantly reduced in size. Any excess vaginal mucosa was trimmed and sent to pathology. The mucosa was then reapproximated with a running locking stitch. Normal vaginal caliber and length were confirmed. The vaginal mucosa was sent to pathology. Vaginal packing was placed using Kerlex moistened with estrogen cream or antibiotic gel. The patient was then brought out of anesthesia, and transferred to the recovery room in excellent condition.

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