SURGERY TECHNIQUE

AFTER TREATMENT OF THE SURGICAL FIELD, INSECTIONS ARE MADE ON PERINEUM SKIN, VAGINAL MUCOUS MEMBRANE 1-1,5 CM INWARDS FROM THE EPITHALAMIC COMMISSURE AND 2,0 CM AT THE BOTH SIDES OF THE EPITHALAMIC COMMISSURE TOWARDS THE SUPERIOR BORDERS OF THE ISCHIAL TUBEROSITIES. THE INSECTIONS ARE MADE WITH A SCALPEL. A MONOFILAMENT SYNTHETIC LONG-DISSOLVABLE CLOCKWISE INDENTED SUTURE IS PUT THROUGH THESE INSECTIONS. THE SUTURE IS PUT THROUGH FIBERS OF THE SUPERFICIAL TRANSVERSE MUSCLE OF PERINEUM. THE ENDS OF THE SUTURE ARE TIED TOGETHER WITHOUT OVERTENSIONING TO FORM A CORRECT ANATOMY OF THE PELVIC DIAPHRAGM AND VAGINAL ORIFICE. SKIN INSECTIONS ARE REPAIRED WITH POLYGLYCOLIDE 2/0 SUTURES WHICH ARE REMOVED IN 5 DAYS.

NOTE:

LOCALIZATION OF SKIN INSECTIONS IS DETERMINED STRICTLY INDIVIDUALLY DEPENDING ON THE INTENSITY AND EXTENT OF ANATOMO-PHYSIOLOGIC DISTORTION RATIO OF THE PERINEUM AND VULVA.