Apostolos Kolitsidakis’ Post

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Obstetrician & Gynecologist, Urogynecologist

What happens if you don't respect anatomy at the time of total hysterectomy? ❗ Do not underestimate the risk of prolapse. ❗ Respect the anatomy and attempt to restore it after removing the uterus even if there is no obvious prolapse present. ❗ Even in our day there are still people "treating" uterine prolapse with simple hysterectomy. ✳ Remember, the cervix is the anchoring point of the pubocervical fascia, the cardinal ligaments and the uterosacral ligaments as an extention of the rectovaginal fascia. If these structures don't reattach after removal of the cervix, the pelvic floor is bound to fail like an arch without its keystone. #urogynecology #praktischeurogynäkologie #gynaecologia #gynecology #urology

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