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[2] [10] Forms of colpopexy include sacrocolpopexy, in which the vaginal vault is attached to the sacrum using a surgical mesh; sacrospinous ligament fixation, in which the upper vagina is attached to the sacrospinous ligaments; and uterosacral ligament vaginal vault suspension, in which the upper vagina is attached to the uterosacral ligaments ...
The uterosacral ligaments (or rectouterine ligaments [1]) are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the (anterior aspect of the [2]) sacrum. [ 3 ] Structure
The mesh is strongly attached at two points: namely the uterus/cervix and the anterior longitudinal ligament over the sacral promontory. Hysteropexy restores the normal support of the vagina, suspending the uterus back in its anatomical position by reinforcing weakened ligaments with a mesh. This procedure allows the length of the vagina to be ...
The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female.
The vaginal cuff is created by suturing together the edges of the surgical site where the cervix was attached to the vagina. This is accomplished by bringing the edges of the vagina together and suturing them together and to the uterosacral ligaments to prevent prolapse. The peritoneum is also sewn into the newly created vaginal cuff. [1]
It also allows palpation of the recto-vaginal septum, the intra-abdominal area posterior to the uterus (the cul-de-sac or pouch of Douglas), and the adnexal. [22] Nodularity posterior to the uterus along the uterosacral ligaments has been associated with pelvic endometriosis as well as implants of ovarian cancer. [22]
The contents of the broad ligament include the following: [3] Reproductive uterine tubes (or fallopian tube) ovary (some sources consider the ovary to be on the broad ligament, but not in it.) [4] vessels ovarian artery (in the suspensory ligament) [5] uterine artery (in reality, travels in the cardinal ligament) ligaments ovarian ligament
Recovery may take four to six weeks. [1] Other surgical treatment may be performed to treat cystocele. Support for the vaginal wall is accomplished with the paravaginal defect repair. This is a surgery, usually laproscopic, that is done to the ligaments and fascia through the abdomen. The lateral ligaments and supportive structures are repaired ...