Articles
About
Publish
Subscribe
Sign In
Title
1. Introduction
2. Surgical Approach
chevron_right
a. Expose Cervix
b. Inject Local Anesthetic
3. Gain Peritoneal Access
chevron_right
a. Circumferential Incision Around Cervix
b. Gain Peritoneal Access Posteriorly, Protecting Rectum
c. Gain Peritoneal Access Anteriorly, Protecting Bladder
4. Hysterectomy
chevron_right
a. Divide Along Broad Ligament
b. Divide Utero-Ovarian Ligament
5. Isolate and Tag Uterosacral Ligaments
6. Cystoscopy
7. Anterior Repair
chevron_right
a. Expose Anterior Wall
b. Inject Local Anesthetic
c. Incision
d. Dissection to Isolate Cystocele
e. Reduce Bulge
f. Review Repair
g. Excise Redundant Tissue
8. Closure for Anterior Repair and Vaginal Cuff Closure
chevron_right
a. Anterior Repair Closure
b. Place Uterosacral Ligament Stitches Through Vaginal Cuff
c. Finish Closure of Anterior Wall and Vaginal Cuff
d. Tie Down Apical Suspension Sutures
9. Repeat Cystoscopy
10. Cut Uterosacral Ligament Stitches
11. Perineorrhaphy
chevron_right
a. Expose Posterior Wall and Examine Defect
b. Inject Local Anesthetic
c. Diamond-Shaped Incision
d. Excise Epithelium
e. Tag Apex
f. Rebuild Perineal Body
12. Rectal Exam
13. Post-op Remarks
jkl keys enabled
60130 views
Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Emily C. Von Bargen, DO
;
Patricia L. Hudson, MD
;
Lori R. Berkowitz, MD
Massachusetts General Hospital
Tags:
Obstetrics & Gynecology
General Surgery
Main Text
Procedure Outline
Transcript
Comments
Comments (0)
Subscribe to comments
LIMITED ACCESS
To gain temporary access for evaluation purposes, please:
CREATE AN ACCOUNT
OR
SIGN IN
Share This Article
Authors
Emily C. Von Bargen, DO
Patricia L. Hudson, MD
Lori R. Berkowitz, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
5/4/2023
Article ID
267
Production ID
0267
Volume
2023
Issue
267
DOI
https://doi.org/10.24296/jomi/267