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Re: Uterine Suspension From: Bernard Cristalli (bcrist@club-internet.fr) Sat Jun 10 10:53:38 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Zavanelli update" Previous message: Larry nixon: "Zavanelli update" In reply to: Joanne Bulley, MD: "Uterine Suspension" Next in thread: Charlie Chambers: "Re: Uterine Suspension" I do it laparoscopically. A Pellanda-Abeille procedure, (or modified Gilliam ?) Grasp the round ligaments with a forceps through the anterior abdominal wall under laparoscopic vision. One non permanent stitch on each side./ -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : jbulley@cheshire.net (Joanne Bulley, MD) > Répondre à : ob-gyn-l@obgyn.net > Date : Sat, 10 Jun 2000 10:16:46 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Uterine Suspension > > I have a young woman (late 20's) - completed her child bearing - with an > RV uterus and dyspareunia. This is completely reproducible by palpation > of the fundus on pelvic exam. No uterosacral pain etc. I plan on doing > a uterin suspension. As we do these infrequently - I have usually done > a Gilliam (?) - pull a knuckle of round ligament through the rectus > fascia and sew it to the fascia - bilaterally. The few others I have > done on very selected pateints have worked quite well. > > I'd love to know what others are doing and whether there is a better - > non laparotomy way I can incorporate into my armamentarium... > > Of note - she had no dyspareunia with her first partner - before > marriage, and has always had this with her current partner - her > husband. It is somewhat worse since having the 2 babies - and he > definitely has a longer erect penis than her first partner. They > considered measuring his erect length before she saw me in case that > helped my evaluation. > > -- > Joanne Bulley, MD > Keene, NH, USA > Next message: Anna Meenan, MD: "Re: Zavanelli update" Previous message: Larry nixon: "Zavanelli update" In reply to: Joanne Bulley, MD: "Uterine Suspension" Next in thread: Charlie Chambers: "Re: Uterine Suspension"

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