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Minimally invasive Fothergill-Manchester operation with connective tissue conservation

作     者:Xiuli Sun Ray Hodgson Jianliu Wang Peter Petros Xiuli Sun;Ray Hodgson;Jianliu Wang;Peter Petros

作者机构:Gynecologic DepartmentPeking University People's HospitalBeijingChina University of NSWSydneyAustralia University of Western Australia School of Engineering and Mathematical SciencesWA 

出 版 物:《Gynecology and Obstetrics Clinical Medicine》 (妇产科临床医学(英文))

年 卷 期:2022年第2卷第2期

页      面:52-56页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基  金:Thanks for Dmitry Shkarupa for Table 1.This work was supported by the National Key R&D Program of China(2018YFC2002202) Special Found of China Plastic Association(2020-Z-33) 

主  题:operation suture Manchester 

摘      要:Poor cure rates for prolapse repair reported by the PROSPECT TRIAL1 and total mesh bans after the Cumberlage Report,2 leave few options for vaginal surgery for urogynecologists *** remaining option,the Fothergill-Manchester Repair began as a modification of the Donald operation.3 Fothergill emphasized the role of cardinal ligament(CL)and uterosacral(USL)ligaments in uterine prolapse repair.4 The classical Manchester operation involves full thickness inverted V-shaped vaginal excisions(Fig.1).The cervix is dilated and if elongated,it is *** are severed and sutured to the anterior part of *** may also be *** sutures bring vaginal flaps into the cervical *** is *** operation can be traumatic,some even reported a large quantity blood loss as high as 850 ml,5 possibly related to severing of CLs which contains uterine artery branches and also,failure of Sturmdorf sutures to control bleeding from cervical amputation.

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