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Related Experiment Videos

Fascia--defects and repair

A Monga1

  • 1Department of Obstetrics and Gynaecology, St George's Hospital, London, UK.

Current Opinion in Obstetrics & Gynecology
|October 1, 1996
PubMed
Summary

Alterations in the endopelvic fascia

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Area of Science:

  • Gynecology and Pelvic Floor Disorders

Background:

  • The endopelvic fascia is crucial for uterine and vaginal support.
  • Changes in the fascial extracellular matrix can weaken support and lead to pelvic organ prolapse.
  • Specific fascial defects have been identified as causes of prolapse.

Purpose of the Study:

  • To review the literature on endopelvic fascial defects.
  • To discuss the surgical repair of these defects for prolapse treatment.

Main Methods:

  • Literature review of studies on endopelvic fascia and pelvic organ prolapse.
  • Analysis of identified fascial defects and their surgical correction.

Main Results:

  • Evidence suggests fascial matrix alterations contribute to prolapse.
  • Discrete fascial defects are identifiable and repairable.
  • Surgical rectification of defects can potentially cure prolapse.

Conclusions:

  • Endopelvic fascia plays a vital role in pelvic organ support.
  • Understanding and repairing fascial defects is key to treating pelvic organ prolapse.