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Sacrocolpopexy Need Advice pleaseFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Sat Nov 29 10:58:41 1997
In message <971128231248_1814126993@mrin46.mail.aol.com>, ATFSOCCER@aol.com writes > >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?? > The method I use involves also taking multiple bites with sutures side to side to bring uterosacrals together to prevent enterocoele. My understanding is that otherwise there is a high incidence of enterocoele. Secondly I use a delayed absorbale suture. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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