Vaginal Surgery

abdominal adequate anatomic anterior appropriate attached axis become bladder blood catheter cavity cervix clamp closed colporrhaphy connective tissue continued cul-de-sac cystocele damage defect demonstrable desirable diaphragm direction dissection edge effective enterocele eversion evident examination excised external Figure fistula flap followed function genital prolapse hysterectomy identified important incision increased indicated infection inserted interrupted intra-abdominal labor lateral layer length less levator ligament lower midline muscle necessary normal noted Obstet Gynecol occur opening operation patient pelvic performed perineal body perineum peritoneal peritoneum permit placed portion position possible posterior posterior vaginal postoperative present pressure procedure progression prolapse recognized reconstruction rectal rectocele rectovaginal rectum removed repair requires restore result retractor separated septum shown side significant skin space stitch studies surgeon surgery surgical suture technique thickness tied traction treatment upper urethra urinary usually uterine uterosacral uterus vaginal wall