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Fig. 2 | BMC Surgery

Fig. 2

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

Fig. 2

Key steps of fertility-preserving or uterine-preserving vNOTES for USLS. i: 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 (left USL shown). ii: Attachment of the above nonabsorbable sutures to the cervix. iii: Partial excision of the cervix. iv: Reconstruction of the residual cervix

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