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Re: Pelvic Vein CongestionFrom: Bernard Cristalli (bcrist@club-internet.fr)Sat May 9 14:34:26 1998
Dr Mangeshikar wrote: > > At 02:58 AM 5/8/98 -0500, you wrote: > >Bernard Cristalli wrote: > >In those severe pelvic pains (severe enough to have a laparoscopy), if > >there is no other abnormality I perform a Pellanda procedure (or > >Doleris-Pfannenstiel) > >-- > > What is Pellanda procedure (or Doleris-Pfannenstiel) through laparoscopy? --` Pellanda is the anterior pexy of the round ligaments to the abdominal aponevrosis. Under laparoscopy you grasp the round ligament with a long forceps (bengolea or long Kelly). Each forceps is introduced through a lateral one cm incision 2 cms above the pubic bone. The ligament is grasped +/- near the uterus depending on the degree of retroversion. Then each ligament is sutured to the aponevrosis. I did not find the princeps publication. Laparoscopic ventrosuspensions (letter). B. Cristalli. Am. J. Obstet. Gynecol. 1991, 165, 780-781 -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm
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