French term or phrase: fascia de Alban (fascia de Halban). Hi, I believe there is a typo in the French and it should be “fascia de Halban”. The Halban cul-de-sac closure is a vertical closure of the peritoneum that . of the graft (synthetic nonabsorbable material or homologous fascia) to the sacrum. toward the pubic bone, the pubo-cervical fascia (Halban’s fascia) 12 close the 2nd part of the vagina is de facto included in the fascia which is.
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This condition, although diagnosed intraoperatively, must be repaired. Urogynaecologia International Journal ; Significance of restoration of normal vaginal depth and axis.
As a consequence, the subject-matter of claim 1 of request F lacks novelty over D1. The appellant argued, inter alia, that the method for the treatment of female urinary incontinence was not known. Before the 20th century, most treatments were partial or had serious drawbacks.
Basic anatomic features in perineology
Some of the factors that cause operative failure are unpredictable, but age, poor tissue condition, scar tissue, increased abdominal pressure, and neuropathies may prevent optimal reconstruction from taking place and lead to a less-than-perfect outcome.
Fazcia should attempt to prevent posthysterectomy prolapse by using the cardinal-uterosacral complex as described. Therefore, this decision does not offer any basis for considering that a product the therapeutic effect of which is not associated to a fxscia or a composition used, could be a medicament. In addition, any other defect that is present should be corrected at the same time.
It is therefore necessary, also in this case, to establish whether the indication of this use, which constitutes a method for treatment of the human body by surgery or therapy, may confer novelty to the claimed subject-matter.
Lateral view of suture attached to sigmoid, upper vagina, and lower uterine segment. Curr Opin Obstet Gynecol ; 6: Dis Colon Rectum ; It also accomplishes high peritoneal ligation, which is an important step in closing a deep cul-de-sac.
The pubocervical fasciais the common surgical term for the fibromuscular coat This procedure is effective for transvaginal surgery as well Fig. Clinical significance of sacral and pudendal nerve anatomy.
Halban type cul-de-sac closure abdominal, uterus in faascia. This complication occurs after either transvaginal or transabdominal hysterectomy; hysterectomy alone will not cure uterovaginal prolapse. New concept of the anatomy of the anal sphincter mechanism and the physiology of defecation. Long-acting absorbable sutures or monofilament permanent sutures are placed through the ligament.
This is aided by upward traction of the specimen through the use of Kocher clamps arrows. Am J Obstet Gynecol ; More than articles have been written on the management or prolapse. Fasciia, avoiding the ureters does not preclude grasping the uterosacral ligaments as an integral part of this repair.
Le Fascia de Halban – Jean-Jacques Vasseur – Google Books
Lateral view attaching sigmoid to vagina. Interest of retro-anal levator plate myorrhaphy in selected cases of descending perineum syndrome with positive anti-sagging test. Because there is no levator ani muscle between the vagina and the rectum, levator myorrhaphy at this level would not be anatomical.
Discussions of methods to help prevent posthysterectomy prolapse follow. New York, Thieme-Stratton, The anatomy of the pelvic floor. BMC Surg ; 8: The Moschcowitz procedure was first described as a method to close off a deep cul-de-sac in conjunction with prolapse of the rectum.
These steps are completed during any transvaginal hysterectomy.
fascia de Alban (fascia de Halban)
Therefore, it has to be established whether this use, which constitutes a method for treatment of the human body by surgery or therapy, confers novelty to the claimed subject-matter.
Therefore, it is not necessary to refer this question to the EBA.
Any successful repair will restore normal anatomy fasciq a functioning vagina. Excision of the cul-de-sac of Douglas for surgical care of hernias through the female caudal wall, including prolapse of uterus. Grading comment Thanks a million! After the anterior and posterior cul-de-sacs are entered, the uterosacral and cardinal ligaments are cut and ligated.
Possibly useful notes How I detect interesting decisions How I read them. Of the more than 40 procedures for vaginal vault prolapse described over the past century, three major categories have evolved: Participation is yalban and the site has a strict confidentiality policy. In a recent study of sacrospinous ligament fixation procedures, this procedure was found to be effective in vaginal apex cure to Posthysterectomy enterocele and vaginal vault prolapse.