Marc Dakermandji, MD1, Ashley Althoff, DO2, Sam Atallah1. 1Florida Hospital, 2LECOM
Vaginal access minimally invasive surgery (VAMIS) utilizes a platform of transanal minimally invasive surgery (TAMIS) and places it transvaginally. Previously, our center has described the use of VAMIS for rectovaginal fistula repair and cadaver hysterectomy. To our knowledge, the use of the VAMIS platform for repair of a rectocele has not yet been reported.
In this video, VAMIS was applied for repair of a rectocele as an alternative to the traditional transvaginal approach. The operation begins with a transverse incision along the posterior wall of the vaginal introitus. The TAMIS port was next placed vaginally, and the potential space of the rectovaginal septum was actualized. The insufflation-facilitated dissection of the rectovaginal septum was developed effortlessly. The operative time was 74.4 min., the patient was discharged on the first post-operative day without morbidity and with excellent function at 6 week follow-up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85334
Program Number: V024
Presentation Session: Colorectal 1 Session
Presentation Type: Video