TECHNIQUE FOR TRANSABDOMINAL COMBINED FIXATION OF RECTUM AND UTERUS

摘要

The technique for transabdominal combined fixation of rectum and uterus provides for modeling the Teflon vascular prosthesis and the traction of rectum performed cranially. The tunnel of "luggage handle" type is not generated. The prosthesis is fixed in its middle part to ligamentum longitudinale anterius in the area of promontorium by two or three square-topped sutures. The lateral part of the prosthesis is not passed in front of the rectum. Instead, the fenestra is generated in the mesentery of the upper ampullary division of the rectum. The ends of the prosthesis are passed through this fenestra and located along medial and lateral walls of the rectum. The rectum on the left and on the right is fixed not to the ends of the prosthesis but at the site located distally by 2-3 cm with the ends remaining free. The uterus is not extended into the surgical wound. Instead, the uterus is placed ahead of rectum fixing it not to the aponeurosis of the anterior abdominal wall but to the free end of the prosthesis along the lateral surfaces of cervix uteri.