Utero Cervico Secropexy with Prolene Mess

DIGNOSIS:- 3RT DEGREE UTERINE PROLAPSE CYSTOCELE+++ rectocele+++ enterocele+++ TREATMENT (PLAN OF SURGERY):-DLS + p repair + cervical amputation DLS done under general anaesthesia given by dr amit and done by dr pravin kanani. LAPROSCOPY: - 10/5 MM primary trocher insersion done. - 3 5mm secondary trocher insersion done under guidance of primary trocher. - No fibroid, no adhesion, no endometriotic spot. - Uterus SIZE;normal, POSITION:low lying , APP: normal - POD :free - Right tube-size; normal, fimbrial end: normal, - Left tube-size; normal, fimbrial end: normal, -- Right ovary- size:noemal,position:normal,app: normal - Left ovary- size:noemal, position:normal, app: normal. OPERATIVE NOTES; - Cervical amputation done, Sendrof stich taken suturing done with vicryl no.1. - Laproscopic cervico sacropexy done - Rectovaginal space & pararectal space & sacral promontory dissection done. - Uterine suspention done by prolene mess. - B/L round ligamemt plication to elevate uterus and bring it minimally forward. - Lower part of prolene mess fixing done below uterus at cervical part with U/S ligament by vicryl no 1 - Upper part of prolene mess fixing done at sacral promotory with Prolene no 1. - Mesh cover with peritoneal layer by Prolene no. 1. -P REPAIR DONE.