This course reviews the anatomy of pelvic support of the uterus and describes a novel technique to prevent vault prolapse following a hysterectomy. Videos will elaborate on the technique of prophylactic bilateral high uterosacral ligament suspension with pubocervical fascial plication following a hysterectomy for the prevention of vault prolapse. The technique of vault suspension will be demonstrated robotically and laparoscopically. The traditional method of vault closure following a robotic or laparoscopic hysterectomy will be questioned. The course will demonstrate novel techniques with a video presentation and high-quality evidence. The course will also expand on the preoperative work-up, counselling, and postoperative management of these patients.

Learning Objectives: After attending this session, the participant will be able to: 1) Identify relevant pelvic anatomy related to prolapse; 2) Employ the technique of vault suspension in robotic or laparoscopic hysterectomy; and 3) Assess the preoperative workup and postoperative considerations following vault suspension.

Presentations:
Welcome, Introduction and Course Overview

Relevant Pelvic Anatomy of the Pelvic Floor
Ajay Rane, PSM, OAM, Ramsay Health Care, Queensland, Australia

Robotic Assisted Novel Vault Suspension Techniques
Anthony Cerqui, MBBS, DFFP, MRCOG, FRANZCOG, Women's Health Only, Queensland, Australia

Laparoscopic and Vaginal Assisted Vault Suspension Techniques
Tanvir Singh, MBBS, MS, Obstetrics and Gynaecology, Tanvir Hospital, Hyderabad, India

Discussion - Questions & Answers - All Faculty

Adjourn