Vaginal cuff suspension


Karram M, Goldwasser S, Kleeman S, Steele A, Vassallo B, Walsh P. High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol. ;(6) Dec 23,  · Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women. Obstet Gynecol. Mar. (3) Shull BL, Capen CV, Riggs MW, Kuehl TJ. Bilateral attachment of the vaginal cuff to iliococcygeus fascia: an effective method of cuff suspension. There are four separate sutures that help suspend the vaginal cuff: (1) the initial suture into the uterosacral cardinal ligaments, (2) the pursestring reperitonealization suture that reinforces the uterosacral cardinal vaginal cuff suture, (3) the vaginal cuff reefing suture, and (4) the uterosacral ligament sutures tied across the midline at the end of the . SUPPORT OF THE VAGINAL APEX. The rationale for performing a vaginal apical suspension at the time of hysterectomy is to recreate the support provided by the cardinal and uterosacral ligament complexes (Level 1 support) and thereby prevent or reduce the risk of future pelvic organ prolapse.
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Vaginal Vault Suspension

Dec 05,  · After that, revision of the vaginal cuff was performed by Dr. B with assistance by Dr. A and using right angle retractors, the vaginal cuff was visualized and grasped with Allis at the right vaginal angle. Of note, the vaginal cuff was suspended at the high level with a total length of the vagina around 10 cm. Preventing vaginal vault prolapse by supporting the vaginal cuff is an essential part of hysterectomy, whether abdominal or vaginal. The incidence of posthysterectomy vaginal prolapse varies from % to 43%. 1, 2 Preventing complications is a sine qua non in . Vaginal Cuff Closure: How to Minimize Dehiscence and Prolapse MODERATOR Stuart R. Hart, MD FACULTY Vaginal Cuff Closure: How to Minimize Dehiscence and Prolapse cases who deserve a prophylactic vaginal vault suspension. 1. . SUPPORT OF THE VAGINAL APEX. The rationale for performing a vaginal apical suspension at the time of hysterectomy is to recreate the support provided by the cardinal and uterosacral ligament complexes (Level 1 support) and thereby prevent or reduce the risk of future pelvic organ prolapse.
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anterior sacrospinous suspension) or the posterior vaginal cuff (for the posterior sacrospinous suspension) to the liga-ment. Postoperative evaluation included an examination using the pelvic organ prolapse quantitative system, assess-ment of vaginal width and axis, and symptom question-. Karram M, Goldwasser S, Kleeman S, Steele A, Vassallo B, Walsh P. High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol. ;(6) Circumstances Make the Difference The first thing you should do when the ob-gyn performs a vaginal cuff repair is examine the operative report to determine why the repair was needed says Jean Ryan-Niemackl LPN CPC an application specialist with QuadraMed Government Programs Division in Fargo N.D. There are four separate sutures that help suspend the vaginal cuff: (1) the initial suture into the uterosacral cardinal ligaments, (2) the pursestring reperitonealization suture that reinforces the uterosacral cardinal vaginal cuff suture, (3) the vaginal cuff reefing suture, and (4) the uterosacral ligament sutures tied across the midline at the end of the .
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Description:Circumstances Make the Difference The first thing you should do when the ob-gyn performs a vaginal cuff repair is examine the operative report to determine why the repair was needed says Jean Ryan-Niemackl LPN CPC an application specialist with QuadraMed Government Programs Division in Fargo N.D. Karram M, Goldwasser S, Kleeman S, Steele A, Vassallo B, Walsh P. High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol. ;(6) Dec 23,  · Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women. Obstet Gynecol. Mar. (3) Shull BL, Capen CV, Riggs MW, Kuehl TJ. Bilateral attachment of the vaginal cuff to iliococcygeus fascia: an effective method of cuff suspension. Dec 05,  · After that, revision of the vaginal cuff was performed by Dr. B with assistance by Dr. A and using right angle retractors, the vaginal cuff was visualized and grasped with Allis at the right vaginal angle. Of note, the vaginal cuff was suspended at the high level with a total length of the vagina around 10 cm.

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