Article:
Augmented Manchester Procedure with Right Sacrospinous Fixation in a young woman

creativeworkseries.issn3059-9547
dc.contributor.authorTiwari, Kenusha Devi
dc.contributor.authorShrestha, Ranjana
dc.contributor.authorDangal, Ganesh
dc.contributor.authorPradhan, Hema
dc.contributor.authorBhattachan, Kabin
dc.contributor.authorShah, Sadhana
dc.date.accessioned2026-07-09T08:53:49Z
dc.date.available2026-07-09T08:53:49Z
dc.date.issued2025
dc.descriptionKenusha 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
dc.description.abstractAbstract: 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.
dc.identifierhttps://doi.org/10.63455/e6xqe256
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6919
dc.language.isoen_US
dc.publisherPublic Health Concern Trust-Nepal (phect-NEPAL)
dc.subjectCervical elongation
dc.subjectManchester procedure
dc.subjectPelvic organ prolapse
dc.subjectsacrospinous fixation
dc.subjectyoung
dc.titleAugmented Manchester Procedure with Right Sacrospinous Fixation in a young woman
dc.typeBook
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage93
oaire.citation.startPage90
relation.isJournalIssueOfPublicationfa2742db-eab9-441f-aa1f-ef81654e2340
relation.isJournalIssueOfPublication.latestForDiscoveryfa2742db-eab9-441f-aa1f-ef81654e2340
relation.isJournalOfPublication56ecabdf-56c9-4caa-af6a-1fce9c15c360

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