Vault Prolapse, Vaginal Clinical Trial
Official title:
Modified Extraperitoneal Uterosacral Ligament Suspension in Preventing Cuff Prolapse Risk After Vaginal Hysterectomy; 4 Clamp Method
Introduction : The extraperitoneal uterosacral ligament suspension (ULS) can be performed
during the removal of the uterus in vaginal hysterectomy to prevent cuff prolapse. In this
study, the modified extraperitoneal ULS technique was evaluated in terms of preventing cuff
prolapse.
Methods / Technique : Forty patients with second and third-stage uterine prolapse who were
operated were included in the study. During routine vaginal hysterectomy procedure performed
on patients, after sacrouterine ligaments which are the first-bites and uteroovarian and
round ligaments which are the last-bites have been sutured and knotted, these ligaments were
marked with 4-distinct clemps to make the right and left, upper and lower separation. After
vaginal cuff was closed the sutures hanged by the clamps were ligated together, and the cuff
tissue was stretched to the apical line.
n/a
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|---|---|---|---|
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