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(2) ABDOMINAL SLING OPERATION FOR UTERINE PROLAPSE ( PART 2 )

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Published on Dec 6, 2010

Dr. Shirodkar had advised these surgery for patients desirous for maintaining fertility and menstrual function.
Shirodkar's posterior sling operation is by far the best operative technique for management of uterovaginal descent during childbearing age group. It is evident from the fact that the patients undergoing the sling have minimal complications and recurrence of symptoms.

Nulliparous prolapse occurs due to congenital weakness of ligments, spina-bifida-occulta or associated neurological abnormalities. I
Dr. V.N. Shirodkar the Pioneer of Shirodkar's abdominal sling surgery, used fascia lata femoris to strengthening the uterosacral ligments and fixation to the sacral promontary retroperitoneally.

Over a period of time fascia lata was replaced by Nylon strips and presently mersilene (inert material) tape is used. Mersilene tape has a definite advantage over fascia lata as it is inert material, non-absorbable, non-irritant with predictable tensile strength

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