ANTERIOR AND/OR POSTERIOR COLPORRHAPHY
Objective
In case of:
• bulge in vagina.
• repair and reinforcement of musculofascial support of the bladder and urethra (anteriorly) and distal rectum (posteriorly).
• to prevent protrusion of the structures through the vaginal wall.
Position
Lithotomy.
Anesthesia
Epidural or general.
Procedure
1. Cervix (if present) is grasped with a tenaculum. For anterior colporrhaphy the anterior vaginal mucosa is incised in the midline.
2. The incision is deepened into the musculofascial wall.
3. Plication sutures are placed in the musculfascial tissues.
4. Excess of the priviously stretched vaginal mucosa is excised the mucosal incision is approximated.
5. Posterior colporrhaphy an incision is made at the mucocutaneous junction.
6. Perirectal fascia is separated and plicated.
7. The levator muscles are approximated at the midline to an appropriate degree of tension.
8. Excess vaginal mucosa is excised.
9. The mucosal incision is closed.
10. A vaginal pack may be placed.
Instruments
Vaginal hysterectomy set
Any questions be sent to drmmkaur@gmail.com
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