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VaginalParavaginalRepair

  1. 1. VaginalParaVaginal Repair in pictures With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com Vaginale ParaVaginale Repair in Beeld
  2. 2. 1.Enter superficial Anterior Vaginal wall cleavage plain 1.Insnijding in de natuurlijke spatie in de vaginale voorwand With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  3. 3. Blaaskatheter Catheter Vaginal wall Bladderwall With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  4. 4. 2. Penetrate attenuated lateral septum 2. Doodringen van zijwand scheiding tussen voorwand en zijde van bekken. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  5. 5. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  6. 6. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  7. 7. Cauterization of veins With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  8. 8. 3. Sweep Bladder (& Ureter) medially 3. Stroop blaas en urineleider na binnen ( weg van de bekkenzijwand) With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  9. 9. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  10. 10. 4. Place 4 pairs of stay sutures in Whiteline or Obturator membrane 4. 4 hechtingen paren worden door whiteline of binnen membraan van bekkenwand geplaatst With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  11. 11. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  12. 12. 5. Reconstruct “ trampoline” with SIS from whiteline to whiteline from Symphysis to cervix 5. Reconstructie van kapotte ondersteuning van de blaas met SIS van whiteline tot whiteline (zijwanden) van schaambeen tot baarmoederhals. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  13. 13. Cervix Symphysis Whiteline Sutures baarmoederhals schaambeen With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  14. 14. With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  15. 15. Symphysis pubis Cervix schaambeen baarmoederhals With compliments by Dr Andri Nieuwoudt www.pelvicorganreconstruction.com
  16. 16. Thank you! Bedankt! Baie dankie! More information is on www.pelvicreconstruction.com

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