Integral Theory 盆底动力解剖与盆底重建手术-课件，幻灯，PPT精选.pptVIP

Mesh Adjustments* 4. Loose application Almost cannot be “to loose” 5. Close Vagina and restore position before final adjustment Push arm back and splint while removing cannula 9 cm 6 cm * 几点注意 子宫切除后 需要关闭腹膜，以避免网片与肠接触 回顾性资料显示，同时行子宫切除时网片的暴露率较高 阴道切口 尽量缩小阴道切口，并避免T形切口 建议避免大块切除阴道及避免阴道与网片固定在一起 * 盆底重建手术成功的关键 熟悉手术原理，掌握手术技巧 重视手术细节！ 心中有解剖！！ 知其然，更要知其所以然！！！ * 谢谢！ * * * * * * * This illustration provides a view of the final position of the anterior implant. The anterior superficial and deep straps are traversing through the obturator membrane. * * * This illustration provides a view of the final position of the posterior implant. The posterior straps are traversing through the sacrospinous ligament. * * As it is, this slide doesn’t prompt much discussion. We need to beef up this segment significantly. The dissection is going to be the key to this procedures success . We need a starting point for that discussion. At the summit everyone perked up when we discussed the deeper dissection with the local infiltration that makes it possible. I know the french agree as well. We need some kind of graphic, either a JPEG or preferably a little video * Speaker will discuss why this needle position is important, and why the slight medial cant is necessary (due to the plane of the obturator foramen being slightly angulated) * 阴道顶部正常的筋膜支持 * 修补阴道后部损伤的方法  （TVM ） 平面一的修补 重建子宫颈环 重建子宫颈部的筋膜连接（p-prolift、p-IVS） 平面二的修补 p-prolift 平面三的修补 修补会阴体 * GYNECARE PROLIFT* 系统后部植入修补直肠膨出、顶部脱垂 * 后部悬吊带（P-IVS）固定阴道顶部 * Usually need to dissect adherent anal mucosa off the Perineal Body (PB). B=vaginal bridge. 会阴体修补（约占阴道后壁的1/2） * GYNECARE PROLIFT* Repair System 全盆底重建手术 符合整体理论解剖重建的理念 适用于重度的、复杂的损伤 *  PROLIFT手术的标准化步骤 调整、固定 分离、切开 再分离 穿刺、安放 重建筋膜连接 修补复杂脱垂 * 前部的相关解剖