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Suspension of the vagina or vagina and uterus to the sacral promontory by means of an abdominal, laparoscopic, or robotic approach has been shown to be an effective treatment for uterovaginal prolapse and vaginal vault prolapse. Although the exact indications…
More than 400,000 hysterectomies are performed annually in the United States (a decline of more than 200,000 in annual procedure numbers from the peak in 2002). In 2018 the most common route of hysterectomy was laparoscopic (to include both traditional…
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You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
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Modified Burch Colposuspension After the retropubic space is entered, the urethra and anterior vaginal wall are depressed. Dissection at the midline is avoided, thus protecting the delicate musculature of the urethra and urethrovesical junction from surgical trauma. Attention is directed…
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Tubal interruption, or bilateral partial salpingectomy, is a relatively easy and direct method of accomplishing surgical sterilization. Typically, this operation is performed at the time of cesarean section, or immediately postpartum in the case of vaginal delivery. Two operations are…