Laparoscopic CESA/VASA – standardized bilateral apical fixation for pelvic organ prolapse with concomitant urinary incontinence – An update on the first 10 years of experience and further development (#FL118)
2022-07-14 / 04:00 PM to 2022-07-14 / 04:30 PM [Timezone: Europe/Berlin]
The DynaMesh®-CESA / -VASA implants (PVDF) were especially developed and designed for the treatment of pelvic organ prolapse with or without concomitant urinary incontinence. In 2012, these PVDF implants were introduced and used for the first time in Germany. In contrast to a classic sacrocolpopexythe cervicosacropexy (CESA) and vaginosacropexy (VASA) are standardized bilateral apical fixation with replacement of both uterosacral-ligaments with a minimum amount of synthetic material, learly defined anatomical fixation sides and thereby defined apical tensioning.
Dr. Sebastian Ludwig has been actively involved in the CESA/VASA project from the beginning and led the conversion to a laparoscopic approach, called laCESA and laVASA, and under complete uterine preservation, called laUSA.
Bilateral apical fixation – laparoscopic surgical procedures:
- Cervico-Sacropexy (laCESA)
- Vagino-Sacropexy (laVASA)
- Utero-Sacropexy (laUSA)
DynaMesh®-CESA implants have been specially developed for pelvic floor reconstruction, and particularly for reinforcing or replacing the uterosacral ligaments, in laparoscopic or open surgical technique.
The implants are used in the treatment of a prolapse of the internal genitalia, such as a cervical stump prolapse.
DynaMesh®-VASA implants have been specially developed for pelvic floor reconstruction, and particularly for reinforcing or replacing the uterosacral ligaments, in laparoscopic or open surgical technique.
The implants are used in the treatment of a prolapse of the internal genitalia, such as a vaginal stump prolapse.