sacrospinous fixation and mesh anatomical issues spfn advanced pelvic floor reconstructive surgery...
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![Page 1: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/1.jpg)
Sacrospinous fixation and mesh anatomical issues
SPFN Advanced Pelvic Floor Reconstructive Surgery Course
Dr Stewart Pringle
University of Glasgow
November 2013
![Page 2: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/2.jpg)
Optimising outcomes
• Multifactorial!
• Patient selection / consent
• Training
• Safe surgical practice
• Management of complications
• Governance issues
![Page 3: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/3.jpg)
Optimising outcomes
• Multifactorial!
• Patient selection / consent
• Training
• Safe surgical practice- anatomy
• Management of complications
• Governance issues
![Page 4: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/4.jpg)
Training
• Teams as well as individuals
• Organise theatre time appropriately
• Anticipate learning curve and be realistic
![Page 5: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/5.jpg)
![Page 6: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/6.jpg)
Safe surgical practice
• Improved technology?– Single incision– Lightweight mesh– Fixation methods
• Anatomical considerations
![Page 7: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/7.jpg)
Sacro spinous fixation and mesh anatomical issues
![Page 8: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/8.jpg)
Safe surgical practice
![Page 9: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/9.jpg)
Quiz- answers
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Ureter and Pelvic Vessels
![Page 12: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/12.jpg)
Pelvic Basin
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Internal Pelvic Sidewall
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Internal Pelvic Sidewall
![Page 15: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/15.jpg)
Internal Pelvic Sidewall
![Page 16: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/16.jpg)
Internal Pelvic Sidewall
![Page 17: Sacrospinous fixation and mesh anatomical issues SPFN Advanced Pelvic Floor Reconstructive Surgery Course Dr Stewart Pringle University of Glasgow November](https://reader036.vdocuments.site/reader036/viewer/2022081603/56649f4e5503460f94c70216/html5/thumbnails/17.jpg)
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