Current diagnostic modalities and treatment of Pelvic organ prolapse

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Pelvik Organ Prolapsusu
Tanı ve Tedavide Güncel
Yaklaşım
Dr. Tevfik Yoldemir
Marmara Üniversitesi
Kadın Hastalıkları ve Doğum A.D.
tevfik@yoldemir.com
Bağ doku seviyeleri
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Vajen üst bölümün fasya desteği
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Pelvik taban
kasları
Doğum sırasında hasar görecek
bağ doku bölgeleri
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Tanıya yönelik
anatomik bölgelere
göre semptomlar
The Female Pelvic Floor. Function,
Dysfunction and Management According
to the Integral Theory. Second Edition
Tanıya yönelik
Klinik muayene
The Female Pelvic Floor. Function,
Dysfunction and Management
According to the Integral Theory.
Second Edition

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Hasarlı PUL / EUL muayenesi
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Orta hat / kardinal lig defekti
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Orta bölge / posterior bölge destek
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Orta bölüm – hasar alanları
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Anterior bölge hasarları
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
Sentetik graftlar
Obstet Gynecol Clin N Am 36 (2009) 615–635

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Anterior meş kullanımı Anterior meş kullanımı
New Techniques in Genital Prolapse Surgery. Peter von Theobald , Carl W.
Zimmerman, G. Willy Davila . Springer-Verlag London Limited 2011
Posterior meş kullanımı
New Techniques in Genital Prolapse Surgery. Peter von Theobald , Carl W.
Zimmerman, G. Willy Davila . Springer-Verlag London Limited 2011
Allograft / Xenograft
Hastaya pozisyon verilmesi Orta hat defekti

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Orta defekt tamiri
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
RVF yanlara / Rektoselin
süperolateral yer değiştirmesi
The Female Pelvic Floor. Function,
Dysfunction and Management According to
the Integral Theory. Third Edition
SSL SSL
SSL SSF

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SSF Posterior defekt tamiri
New Techniques in Genital Prolapse Surgery. Peter von Theobald , Carl W.
Zimmerman, G. Willy Davila . Springer-Verlag London Limited 2011
infrakoksigeal sakropeksi Posterior defekt tamiri
LS için gereken el aletleri

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LS- Batına giriş LSC – Promontorıum hazırlığı
LSC – RVS hazırlığı LSC – puborektal kasa sütür
LSC – puborektal kasa mesh LSC – RVF meshin tespiti

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LSC – promontoriuma mesh dikilmesi LSC -promontoriuma mesh dikilmesi
LSC - peritonizasyon Posterior meş uygulaması
AUSS
Am J Obstet Gynecol 2009;200:656.e1-656.e5.
L-USS

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İliopectineal suspansiyon
TV VVS
Int Urogynecol J (2008) 19:1393–1398
TV VVS
Int Urogynecol J (2008) 19:1393–1398
TV VVS
Int Urogynecol J (2008) 19:1393–1398
Kolpokleisis

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Kolpokleisis Kolpokleisis
Dikkatiniz için teşekkür ederim.
Dr. Tevfik Yoldemir
tevfik@yoldemir.com
http://www.slideshare.net/dryoldemir