 |
PROLAPSE
TREATMENT
|
o -Abdominal sing operation Cervicopexy (eg. Purandare,
shirodkar, Khanna)
·
For
a parous women in early weeks of pregnancy
o -Ring pessary in the first trimester of pregnancy.
·
For
a parous women in pregnancy with 2° or 3° prolapse at 28 weeks.
o -Ring pessary till child birth and few weeks after and
then Fothergirs repair.
·
For
< 4 years multipara, desirous of retaining menstrual function and
reproductive function with 2° or 3° prolapse.
o -Fothergill's repair
·
For
women > 40 years completed family size
o -Mayoward's vaginal hysterectomy (with ant.
Colporrhaphy and posterior colpoperineorrhaphy) with pelvic floor repair
·
For
elderly menopause patient with advanced prolapse
o -Lefort's repair
·
For
enterocele
·
- Moscowitz repair
·
For
vault prolapse
o -Right sacrospinous colpopexy (in and elderly not fit
for abdominal surgery).
o transvaginal
o -Transabdominal sacral colpopexy using Mersilene mesh
extraperitoneally in patient fit for abdominal surgery).
·
Congenital
prolapse of uterus/ Nulliparous prolapse without cystocele:
-
Purandare's cervicopeoy
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