In a recent chart review of almost 1,000 women who underwent uterosacral
colpopexy for pelvic organ prolapse, on the other hand, the intraoperative bladder injury rate was only 1%, and the rate of ureteral kinking/obstruction requiring stitch removal was significantly higher at 4.
Intraoperatively, deposits were noted on the left ovary and both uterosacral
ligaments, and nodules on the undersurface of the diaphragm, in Morison's pouch, on the right side of the paracolic gutter, and between the liver and the kidney.
DMG has been utilized in some abdominal hysterectomies by injecting the solution into the infundibular, round and uterosacral
ligaments prior to closing the fascia.
sacrospinous fixation, uterosacral
ligament plication) and abdominal access techniques (e.
6), (8) Proximally, the septum fuses with the uterosacral
ligaments laterally and the pericervical ring centrally.
Bilateral thickened uterosacral
and a short pelvic wall raised strong suspicion of cervical cancer and accompanying pyometra.
These include a fixed retroverted uterus, tender adnexal masses, tenderness or nodularity of the uterosacral
ligaments, nodules in the rectovaginal septum, and rarely blue or red lesions in the posterior vaginal fornix.
It occurred during the gynecological procedure called laparoscopic uterosacral
nerve ablation (LUNA), which was intended to address her pelvic pain resulting from endometriosis.
The investigators found that a total of 42 of the 57 patients (74%) had sacral colpopexy; 7 (12%) had uterosacral
suspension; 6 (11%) had total vaginal mesh placed; and 2 (3%) had posterior colporrhaphy.
CHICAGO -- Laparoscopic excision of endometriotic lesions of the uterosacral
ligament improves not only deep dyspareunia but also the quality of patients' sex life, Dr.
Prolapse after laparoscopic uterosacral
transection in nulliparous airborne trainees.
About 40 per cent of gynaecologists offer Laparoscopic Uterosacral
Nerve Ablation (LUNA) to their patients but 60 per cent do not.