Abstract
<h3>Study Objective</h3> Video presentation showing retroperitoneal dissection and deep pelvic side wall anatomy. <h3>Design</h3> Case presentation. <h3>Setting</h3> Tertiary medical center. <h3>Patients or Participants</h3> 74-year-old female with history of type 2 diabetes, hypertension, and a vaginal hysterectomy with left sacrospinous ligament suspension nine years ago, presented with fever and found to have bacteremia. Abdominal and pelvic MRI showed a presacral and precoccygeal loculated collections, sacral osteomyelitis, and fistula from the left superior vaginal vault to one of the presacral collections. <h3>Interventions</h3> Laparoscopic resection of sacrospinous fistula tract. <h3>Measurements and Main Results</h3> The patient showed significant improvement in her symptoms with resolution of low back pain, vaginal discharge and bleeding. <h3>Conclusion</h3> Gentle dissection with maintained hemostasis, creating windows, and starting from less distorted anatomy are key points in retroperitoneal dissection.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call