Re: Sacrocolpopexy Need Advice please

From: John G. M. Robertson (jgmr@unixg.ubc.ca)
Fri Nov 28 22:16:27 1997


First piece of advice - read telinds - my number one reference when in unfamiliar territory surgically. Second piece - consider marlex mesh sewn to the vaginal vault and then to the sacral periostium. John

J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)

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> From: ATFSOCCER@aol.com
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: Sacrocolpopexy    Need Advice please
> Date: Friday, November 28, 1997 8:59 PM
>
> I am planning to do a sacrocolpopexy on a very healthe 76yo wf next week.
> She has had a failed sacrospinous ligament suspension and MMK.
>
> I am planning to use a midline incision, do a Moskowitz (?) proceedure
> with 3-0 silk and then take the bladder down off the vag cuff attach the
> graft and suspend to the periosteum of the sacrum with 3-0 silk. Recover
> the graft with the peritoneum.
>
> Any tips or suggestions that might work better??
>
> Thanks for your help!
>
> Andy Folley MD FACOG
> Toledo, Ohio




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