Transobturator suture application for Paravaginal Repair. a new technique

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Abstract Introduction and Hypothesis: Vaginal approach for paravaginal repair is technically a difficult operation so its use is limited. A new surgical technique is described in this study to apply sutures to the White line using Transobturator tape needle during Paravaginal repair in a safe and effective way. Method: this is a clinical trial 39 cases with paravaginal defect cystocele were enrolled in the study. Seven cases dropped from follow up and were excluded from the study leaving us with 32 cases. Operative time, blood loss, pop-Q were used to determine outcome of the procedure. Results: mean age for the study group was 34.28 years, parity was 2.53, 31.25% of the patients had associated midline defect. Mean blood loss was 89.12 ml. Mean Operative time for vaginal paravaginal repair was 20.65 minutes. As for POP-Q System points Aa, Ba, C significantly decreased in value after surgery Conclusion: Transobturator suture application for Paravaginal Repair offers a new approach for applying sutures to the white line easily and safely. ClinicalTrials.gov ID: NCT02735772. Registration date : 03/31/2016.

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