Re: Sacrocolpopexy Need Advice please

From: DoctorJoe@aol.com
Sat Nov 29 11:48:28 1997


In a message dated 11/28/97 11:21:17 PM, you wrote:

<<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.>>

I always liked the Marlex graft material (flat piece cut to fit) with was stitched to the POSTERIOR vaginal and tacked to the sacral promontory. Then you have to do an MMK or similar, because you straighten out the bladder anatomy.

Joe P.





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