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Re: Sacrocolpopexy Need Advice pleaseFrom: Peter Wein (p.wein@obstetrics_mercy.unimelb.EDU.AU)Sat Nov 29 18:14:16 1997
Yes - attach a piece of Dacron mesh to the vaginal vault, and with the other end make a 'Y'. Attach each of the arms of the 'Y' to the sacral promontary either side or the rectosigmoid. At 10:59 PM 28/11/97 -0600, you wrote:
>
>
>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
>
> <bigger>Peter Wein </bigger>Senior Lecturer Department of Obstetrics and Gynaecology University of Melbourne, Mercy Hospital for Women Clarendon Street, East Melbourne 3002 Australia Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690
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