SURGICAL TECHNIQUE USING TRANSVERSE INCISIONS
VIDEO of transverse incision CL repair https://youtu.be/aJDPOELZZfc
VIDEO transverse incision USL repair https://www.youtube.com/watch?v=MGLdYHtqxzg
Indications for transverse incision The main indication is simplicity of the surgery, ideal for women with minimal prolapse. CLs and USLs are much easier to locate as the transverse incision brings the surgeon virtually on top of the laterally displaced ligaments. This USL plication technique, fig5, was used in 1996 to address chronic pelvic pain in women with apical prolapse, with 70% cure at 12 months [6]. The pain was hypothesized to originate from insufficient support of the pelvic visceral plexuses by lax USLs [6].