Modified technique of vaginal hysterectomy, placing polypropylene mesh TOT Sling and IVS methods in solving the associated static disorders of female genital organs and stress incontinentio urinae
Abstract
Introduction: static disorders of female genital organs, present a problem and a professional challenge for any gynecologist who deals with the operational uroginecology. Frequent relapses of these disorders, after using the classical surgical techniques, have led to new research, technological progress in the production of polypropylene grafts and development of modern operational approaches to these problems. Newer surgical techniques haveled to the construction of retaining polypropylene mesh, in terms of solving the disorders. Stress incontinentio urinae (SUI) and strengthening of the pelvic bottom, as well as prevention of a relapse Rectocoella and Enterocoella.The aim of the study was to present a modification of the classical techniques of vaginal hysterectomy, taking into consideration the recommendations of the authority in the field of vaginal surgery. Also, it indicates the great importance of introducing operational techniques of application polypropylene mesh grafts in correction in the following SUI and strengthening of the pelvic bottom… Case: we present a case of sexagenarian patient with total prolapse of the uterus, followed by the SUI of the middle level, and with evident Rectocoellomi Enterocoella. At council has decided to do a modified technique of total vaginal hysterectomy (TVH), and after that, we did a setting of semi rigid polypropylene mesh by transobtural (TOT Sling) method, in order to obtain SUI correction, and setting of intravaginal slings…
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