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Treatment options ? Colporrhaphy – Cystocele repair: anterior / posterior vaginal wall repairIntraabdominal paravaginal wall repair torestore anatomical support Normal bladder position (abdominal view) Vaginal wall repair Vaginal wall defect Laparoscopic Gynaecology Treatment options ? Colporrhaphy – Cystocele repair: anterior / posterior vaginal wall repairIntraabdominal paravaginal wall repair torestore anatomical support Laparoscopic Gynaecology Treatment options ? Fistula repair: Intraabdominal paravaginal wall repair torestore anatomical support Laparoscopic Gynaecology Treatment options ? Fistula repair: Intraabdominal paravaginal wall repair torestore anatomical support Laparoscopic Gynaecology Laparoscopic Gynaecology LSCP 1.a) Situs after total hysterectomy, mesh is connected to the inner border of the vagina 1.b) Situs after LASH, mesh is connected to the cervix stump Laparoscopic Gynaecology LSCP 2. Tunneling of the lateral peritoneal wall with the prebent forceps RU 0385-11/34 Prebend LAP forceps RS818-864 inserted into abdomen trough flexible trocar RU 0430-06 . Laparoscopic Gynaecology LSCP 3. Passing the mesh through the tunnel 4. Stapler fixation at the sacral promontory ? Gynecologists are in controverse discussion, whether tunneling or opening and suturing the peritoneum is less invasive Lateral view Anterior prominent edge of the 1. sacral vertebra Laparoscopic Gynaecology LSCP 5. Staples in situ 6. Mesh in growth after 3 month Pre-bent dismountable Forceps Product Details RUDOLF Medical– A Success Story Available inserts for the pre-bent LAP-Forceps for tissue extraction Product Details Laparoscopic Gynaecology LSCP - Flyer Unique Selling Position (USP) Multifunctional Pira?a Cut LAP-Instrument - Scissors - Needle holder- and grasping forceps in one instrument Laparoscopic Gynaecology RUDOLF Medical– A Success Story Multifunctional Pira?a Cut LAP-Instrument 4 4 Laparoscopic Gynaecology RUDOLF Medical– A Succes
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