#TLH #amp #Vault #Reinforcement #Uterosacral #Ligament #Tightening #prevention #vault #Prolapse
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Introduction: This video is exhibiting few steps of Laparoscopic surgical procedures to help the vaginal vault to minimise the probabilities of vault prolapse. The incidence of vault prolapse is lower than 1% however it appears to be growing these days.Throughout hysterectomy process in benign situations if the surgeon put some consideration in few particular factors throughout vault closure which can assist to carry down the incidence additional low. Number of procedures supplied to these sufferers & there’s probabilities of recurrence.Preventive steps throughout major process might undoubtedly assist those that are in danger. A 60 yrs woman introduced with complaints of one thing coming down p/v since few years . On examination it’s discovered that the girl has elongation of the cervix which is popping out of the vagina with out cystocele & rectocele .There’s laxity of the vagina.After counselling she is posted for TLH.Throughout the process 3 steps are carried out as a prophylactic steps to forestall vault prolapse afterward. (1) Uterosacral ligaments are lower above the extent of there attachments in continuity with the posterior vaginal margin (2) Consideration is given throughout vault closure to repair & tightening the ligaments securely to the vault (3) A non-absorbable suture materials [ Ethibond 2-0] used by ligaments, vaginal vault for additional reinforcement .Care ought to be taken to forestall unintended accidents to the ureters when taking deep bites in uterosacral ligaments .
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