How is the vagina held in place after hysterectomy?

A vaginal cuff is a closure made at the top of the vagina, near where the cervix is usually located. A surgeon creates a vaginal cuff by stitching together the top part of the vagina, usually as part of a total or radical hysterectomy.

What is McCall’s Culdoplasty?

The modified McCall Culdoplasty procedure is a relatively simple procedure that is performed after removal of the uterus and cervix from the apex of the vagina wherein the angles of the vagina are attached to their respective uterosacral ligament and the cul-de-sac is surgically obliterated for support postoperatively.

How do you prevent a vault prolapse after a hysterectomy?

McCall culdoplasty at the time of vaginal hysterectomy is effective in preventing subsequent PHVP. Suturing the cardinal and uterosacral ligaments to the vaginal cuff at the time of hysterectomy is effective in preventing PHVP following both abdominal and vaginal hysterectomies.

What is a vault prolapse?

Surgery Overview Vaginal vault prolapse occurs when the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. It may occur alone or along with prolapse of the bladder (cystocele), urethra (urethrocele), rectum (rectocele), or small bowel (enterocele).

Is the Moschcowitz procedure done by open route?

In the past, the Moschcowitz procedure was done primarily by open route. With the ability of the robotic arms to provide enhanced manipulation of the surgical instruments and suturing techniques, it now can be performed in a minimally invasive manner.

What kind of surgery did dr.moschcowitz do?

Dr. Moschcowitz’s ground-breaking approach stemmed from the understanding of principles of embryonic development and normal anatomy. His surgical method of elevating the rectum and closing of the sac between the rectum and the vagina was soon adapted by gynecologists for the treatment of vaginal prolapse, particularly after hysterectomy.

Who is the creator of the MoSCoW method?

During his tenure at Oracle, software development expert, Dai Clegg, created the MoSCoW method. The technique was later donated to the Dynamic Systems Development Method (DSDM). Clegg initially designed MoSCoW as a prioritization framework for time-boxed projects.

How is the MoSCoW method used in business?

MoSCoW method. The MoSCoW method is a prioritization technique used in management, business analysis, project management, and software development to reach a common understanding with stakeholders on the importance they place on the delivery of each requirement; it is also known as MoSCoW prioritization or MoSCoW analysis .