Skip to main content
Fig. 1 | BMC Surgery

Fig. 1

From: Transvaginal natural orifice transluminal endoscopic surgery for uterosacral ligament suspension: pilot study of 35 cases of severe pelvic organ prolapse

Fig. 1

Steps of transvaginal hysterectomy with transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for uterosacral ligament suspension (USLS). i: Transvaginal hysterectomy. ii: Installation of the single-port platform. iii: Placement of one nonabsorbable suture around the intermediate portion of the USL at the level of the ischial spine bilaterally, for a total of 4 stitches (right USL shown). iv: Slight tugging of the sutures to confirm correct placement. v: Attachment of the above nonabsorbable sutures to the ipsilateral cardinal ligament stump (white arrow). vi: Attachment of the above nonabsorbable sutures to the pubocervical fascia (white arrow) of the anterior vaginal wall

Back to article page

BMC Surgery

ISSN: 1471-2482

Contact us