Article: Augmented Manchester Procedure with Right Sacrospinous Fixation in a young woman
Abstract:
Severe cervical elongation in young multiparous women is a rare cause of pelvic organ prolapse. Achieving durable apical support while preserving the uterus presents a surgical challenge. A 26-year-old unmarried nullipara with 12 years history of pelvic organ prolapse with cervical elongation of 9cm. She underwent Manchester procedure combined with Right sacrospinous ligament fixation of the neo cervix under anesthesia. This combined approach addressed the anatomical defect and provided robust apical suspension. This case demonstrated the feasibility and rationale for this combined approach in a medically complex patient.
Kenusha Devi Tiwari
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Ranjana Shrestha
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Ganesh Dangal
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Hema Pradhan
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Kabin Bhattachan
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Sadhana Shah
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital Institute of Health Sciences, Kathmandu
Keywords
Cervical elongation, Manchester procedure, Pelvic organ prolapse, sacrospinous fixation, young
Identifier
https://doi.org/10.63455/e6xqe256
Citation
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