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Part 2: laparoscopic enterocele repair and vaginal vault suspension.(THE MASTER CLASS)

OB GYN News

| November 01, 2004 | Liu, C.Y. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Prolapse is a hernia. Therefore, the reconstructive surgery for prolapse must strictly adhere to the principles of hernia repair, including the use of permanent nonabsorbable sutures for the fascial defects and the tying and reapproximation of tissues without undue tension. Importantly, the tension on suture sites in a supine patient under general anesthesia will greatly increase when the patient is awake and upright.

As in general hernia surgery, use of mesh prostheses should be considered for severe procidentia or recurrent prolapse.

Laparoscopic reconstruction of genital prolapse requires four basic steps:

* Restore the integrity of the ...

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Minimally invasive approach.(The Master Class)
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Source: HighBeam Research, Part 2: laparoscopic enterocele repair and vaginal vault...

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