SURGICAL TECHNIQUE USING TRANSVERSE INCISIONS
VIDEO of transverse incision CL repair
https://youtu.be/aJDPOELZZfc
VIDEO transverse incision USL repair
https://www.youtube.com/watch?v=MGLdYHtqxzg
Indications for transverse incision The main indication is
simplicity of the surgery, ideal for women with minimal prolapse. CLs
and USLs are much easier to locate as the transverse incision brings the
surgeon virtually on top of the laterally displaced ligaments. This USL
plication technique, fig5, was used in 1996 to address chronic pelvic
pain in women with apical prolapse, with 70% cure at 12 months [6].
The pain was hypothesized to originate from insufficient support of the
pelvic visceral plexuses by lax USLs [6].