ROLE OF LAPAROSCOPY IN PELVIC RELAXATION
Ahmed Mohamed Ahmed Eid;
Abstract
Genital descent is a common gynecologic ailment of uncertain etiology.
The vagina and uterus are kept in place by the cervical and vaginal suspensory ligament; the pelvic floor muscles and the endopelvic fascia.
The anatomical support of the vagina is divided into: Delancey level 1: Cardinal and uterosacral ligaments.
Delancey Ieveli!: Lateral attachment to the arcus tendineus fasciae pelvis.
Delancey level Ill: Urogenital diaphragm.
(Delancey, 1992).
Stretching and laceration of the supportive structures are widely regarded as the direct cause of uterine and/or vaginal prolapse. Prolapsed etiologic factors include trauma especially childbirth, postmenopausal atrophy, mesenchymal defect and possibly pudendal neuropathy, all ending in loss of levator and endopelvic fascia integrity with descent of the genital organs precipitated by increased intraabdominal pressure.
The exact anatomic defect leading to genital descent's far from completely understood (Zacharin, 1980) thus the ideal operation for repair of pelvic relaxation is not yet available.
Patients with pelvic relaxation require preoperative evaluation by history, examination, urinalysis, Q-tip test and urodynamic studies.
The vagina and uterus are kept in place by the cervical and vaginal suspensory ligament; the pelvic floor muscles and the endopelvic fascia.
The anatomical support of the vagina is divided into: Delancey level 1: Cardinal and uterosacral ligaments.
Delancey Ieveli!: Lateral attachment to the arcus tendineus fasciae pelvis.
Delancey level Ill: Urogenital diaphragm.
(Delancey, 1992).
Stretching and laceration of the supportive structures are widely regarded as the direct cause of uterine and/or vaginal prolapse. Prolapsed etiologic factors include trauma especially childbirth, postmenopausal atrophy, mesenchymal defect and possibly pudendal neuropathy, all ending in loss of levator and endopelvic fascia integrity with descent of the genital organs precipitated by increased intraabdominal pressure.
The exact anatomic defect leading to genital descent's far from completely understood (Zacharin, 1980) thus the ideal operation for repair of pelvic relaxation is not yet available.
Patients with pelvic relaxation require preoperative evaluation by history, examination, urinalysis, Q-tip test and urodynamic studies.
Other data
| Title | ROLE OF LAPAROSCOPY IN PELVIC RELAXATION | Other Titles | دور منظار البطن الجراحى فى حالات الإرتخاء الحوضى | Authors | Ahmed Mohamed Ahmed Eid | Issue Date | 2001 |
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