Anterior vaginal wall prolapse repair

1. Simple vaginal bulging, symptomatic. 2. Uterine prolapse combined with vaginal anterior wall bulging. Treatment of diseases: rectal bulging uterine prolapse Indication 1. Simple vaginal bulging, symptomatic. 2. Uterine prolapse combined with vaginal anterior wall bulging. Preoperative preparation 1. Vaginal rinse for 3 consecutive days before surgery. 2. Oral antibiotics were taken 3 to 5 days before surgery. 3. Clean the enema 1 time before the operation and the morning of the operation. 4. 1 day before surgery, the vulva is prepared for skin. Surgical procedure 1. Position and disinfection: the stone removal position. Routine disinfection of the vulva, vagina. 2. Incision: 1cm line of transverse incision under the vaginal sulcus, reaching the sac on both sides (the bottom of the bladder can be detected with a metal catheter to determine the position of the incision). At the midpoint of the incision, it was cut longitudinally upwards and reached 1 cm below the urethral opening to form a "" shaped incision. 3. Separation of the anterior wall of the vagina: the vaginal mucosa is cut along the "" shaped incision and deep into the bladder fascia. The anterior vaginal wall is separated from the bladder fascia from the cervix up and from the middle to the sides. 4. Fully expose the bladder: Separate between the vaginal and bladder spaces until the sides of the bladder are fully exposed. 5. Isolation of the bladder cervical connective tissue: at the lowest point of the bladder attached to the cervix, cut the connective tissue at this point, push the bladder up. 6. Bladder fascia fold suture: according to the degree of bladder bulging, intermittent sacral suture or multiple purse sutures in the bladder fascia in the bladder bulging part. 7. Trimming the vaginal mucosa: remove the excess vaginal wall on both sides of the incision symmetrically. 8. Reconstruction of the anterior wall of the vagina complication Bladder damage and bleeding.

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