ABSTRACT
ABDOMINAL PREGNANCY Incidence is: 1/7000 Signs: amenorrhea, abdominal pain, poor response to oxytocin
ABDOMINAL SACRAL COLPOPEXY See also Prolapse (POP) Success rate 90% Have these available in OR – sterile thumbtacks and/or bone wax Complications – hemorrhage, enterocele, mesh erosion Identify ureter, especially on right Retract rectosigmoid colon laterally Vascular plexus – on sacral periosteum BLEEDS RETROPERITONEALIZE FASCIA LATA (or Mersilene, Marlex, etc.) Use ‘straight-in’ sacral colpopexy kit with ‘Y’ sling graft by American Medical (1 800 253-4267) To see how this procedure is done, refer to Turrentine J. Surgical Transcriptions and Pearls of Obstetrics and Gynecology , 2nd edn. London: Informa Healthcare, 2006.
