Abstract

When performing a sacrohysteropexy, mesh arms are frequently passed through the broad ligament to connect the anterior and posterior pieces of mesh. Passing the mesh arms medial to the uterine vessels may have a theoretical advantage in an ensuing pregnancy as this may reduce constriction on the uterine vasculature as the uterus expands. In this video, we present a novel method for passing mesh arms medial to the uterine vessels using 5mm Mersilene tape with straightened blunt tip needle. The potential advantage of this approach is simplification of the passing of mesh as there is no dissection required.

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